Epidural/retropharyngeal abscess in the setting of MSSA. Evaluate for interval change. There is persistent low T1 and T2 signal as well as enhancement within the dens. The dens also appears to have irregular contours, which is not significantly changed. However, the T2 signal abnormality and enhancement more inferiorly in the bone marrow of C2 and surrounding soft tissues has decreased. The small residual effusions in the atlantoaxial interval and retropharyngeal effusion also are not as cpnspicuous. There is unchanged multilevel degenerative spondylosis with mild spinal canal stenosis at C4-5. The spinal cord displays normal signal. There is no evidence of intraspinal abscess. The vertebral column alignment is unchanged and there is degenerative endplate irregularity in the mid cervical spine. There is a left maxillary sinus retention cyst.
1. Overall continued decrease in the extent of the inflammatory process associated with the odontoid region osteomyelitis.2. Multilevel degenerative spondylosis of the cervical spine. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.