Diagnosis: Backache, unspecifiedClinical question: R/O abscess vs discitis, Extreme tenderness to palpation and at rest MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are appreciated in the thoracic spine.Lumbar spine:Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.No abnormal enhancing lesions are appreciated in the lumbar spine. There are small perineural cysts present in the sacral spinal canal. One is adjacent to the right S1 nerve root at the L5-S1 disc space level while others are present at the S2 segment level.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level which is associated with some disc desiccation. There is some T2 signal hyperintensity along the posterior aspect of the annulus of the disc.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level which is associated with some disc desiccation. There is some T2 signal hyperintensity along the posterior aspect of the annulus of the disc.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level which is associated with some disc desiccation. There is some T2 signal hyperintensity along the posterior aspect of the annulus of the disc.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.Incidental note is made of a 7 x 9 mm axial dimensions cyst the left kidney.
1.There are some mild degenerative changes present in the lower lumbar spine without significant compromise to spinal canal or neural foramina.2.No intrinsic thoracic spinal cord lesion is appreciated. There is no compromise of thoracic spinal cord or neural foramina.3.No evidence for discitis or osteomyelitis.