(Figure 4) Images A and B are sagittal CT scans of the spine in bone and lung windows which show foci of dark low attenuation (red arrow) within the T12 vertebral body, which are suspected to be air within the vertebral body and represent emphysematous osteomyelitis by a gas forming organism. Follow up MRI of the thoracic spine is shown. The T12 vertebral body has high signal intensity on T2 weighted imaging (not shown). Images C and D are sagittal images pre and post contrast T1 weighted images. There is heterogenous enhancement (blue arrow) of the vertebral body without significant enhancement of the adjacent disc spaces, consistent with osteomyelitis. There is an associated tiny epidural abscess.