MRCP2-0102

MRCP2-0102

A 75-year-old man presents to the medical take with a 3-month history of thoracic back pain. Over the last week, he had been having episodes of sweats and shivers, particularly at night.

He was admitted and blood tests were taken.

Haemoglobin 87 g/L
White cells 11.6×10^9/L
Platelets 214 x10^9/L
MCV 70 fl
MCH 20 pg
Blood cultures Streptococcus gallolyticus

MRI showed a discitis at thoracic disks 8/9.
ECHO: No vegetation seen

What is the next investigation for this patient?