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[Clinical Picture] Pott’s disease in a Connecticut toddler

A 17-month-old toddler born and raised in Connecticut, USA, presented to the children’s medical centre in February, 2014, with a 10 day history of a back mass that caused hunching over while walking or running. On examination he had kyphosis and a lower thoracic soft tissue mass 3 cm by 4 cm that was soft, non-tender, and had no overlying skin changes. Thoracic spine MRI showed a lesion that caused destruction of the T9 vertebral body and the superior T10 end plate with preservation of the T8 inferior end plate (figure), and right middle lobe lung consolidation.