Ravi, a software engineer in the UK, experienced escalating back pain that led to paralysis due to a delayed diagnosis of spinal tuberculosis. Critical CT scans were postponed, allowing the infection to worsen and compress his spinal cord. This case highlights the urgent need for timely diagnostic imaging to prevent irreversible damage from spinal conditions.Ravi, a software engineer in the UK, experienced escalating back pain that led to paralysis due to a delayed diagnosis of spinal tuberculosis. Critical CT scans were postponed, allowing the infection to worsen and compress his spinal cord. This case highlights the urgent need for timely diagnostic imaging to prevent irreversible damage from spinal conditions.