my blood report (glucose near to high end) ,c reactive protine esr ,cbp are normal, lymphocytes are just slightly above the normal range. all are normal except Monteux test (12mm ie +ve) mri of dorsal spine says that soft tissues, cord normal but T9 short, fairly large abnormal marrow signal activity. indeterminate , early signs of infection my physician advised me Akt 4 for spinal TB and said go for ct guided biopsy shell I start AKT 4 or go for biopsy prabhakar