Reason: Staph aureus bacteremia and prior imaging with concern for cervical epidural abscess, monitor status on antibiotics History: bacteremia, septic thrombophlebitis, ? mastoiditis, ? epidural abscess Images are degraded by motion artifact. Given this limitation, the following findings are noted.An epidural collection seen on the prior study at the C1/2 level has resolved. There is persistent adjacent paraspinal soft tissue edema. No additional fluid collection is identified. Again seen is left jugular thrombus with loss of flow-void.Bilateral mastoid air cell opacification, left greater than right. Cervical medullary junction is unremarkable. Cerebral tonsils are in normal position. Spinal cord has a smooth contour without focal atrophy or edema. No intraspinal hematoma or mass.There is multilevel degenerative disease of the cervical spine. There is grade 1 retrolisthesis of C5 over C6. There is linear increased STIR/T2 signal in the posterior T1 vertebral body which may represent a somewhat atypical hemangioma. Vertebral body heights are maintained. There is diffuse disc desiccation.C1/C2: No significant spinal canal stenosis or foraminal narrowing. C2/C3: No significant spinal canal stenosis or foraminal narrowing. C3/C4: No significant spinal canal stenosis. Mild facet arthropathy with mild bilateral foraminal narrowing. C4/C5: Posterior disc osteophyte complex with focal left paracentral, foraminal component. Mild spinal canal stenosis. Moderate left foraminal narrowing.C5/C6: Grade 1 retrolisthesis of C5 over C6 with mild spinal canal stenosis and bilateral moderate to severe foraminal narrowing. Loss of disc height.C6/C7: Posterior disc osteophyte complex with mild spinal canal stenosis. Moderate left and mild right foraminal narrowing.C7/T1: No significant spinal canal stenosis. Mild facet arthropathy with mild left foraminal narrowing.T1/T2: Posterior disc osteophyte complex partially evaluated on lateral view.T2/T3: Posterior disc osteophyte complex partially evaluated on lateral view with apparent spinal canal stenosis.
1.The epidural collection seen on the previous study has resolved with persistent paraspinal soft tissue edema.2.Degenerative changes of the spine as above.