 There has been interval left C2-3 laminotomy, left C3-4 hemilaminectomy as well as left C7-T1 and T1-2 laminotomies. There is associated paraspinal soft tissue edema. A surgical drain terminates in the left paraspinal musculature at the level of C2.There has been significant interval improvement in the size of the fluid collection involving the ventral epidural space throughout the cervical and visualized upper thoracic spine. Residual fluid collection for example measures 4 mm in the AP dimension at C2-3 and 7 mm in thickness at C7, previously 9 mm at both levels. Peripheral enhancement is again evident compatible with residual fluid/abscess. The degree of spinal canal stenosis and mass effect on the spinal cord has significantly improved. There is residual spinal canal stenosis and mass effect on the spinal cord, which is up to a mild to moderate degree in the lower cervical spine. No cord signal abnormality. Minimal multilevel degenerative changes. Vertebral body heights in the cervical spine are maintained. No suspicious osseous lesions. No findings to suggest discitis-osteomyelitis in the cervical spine.
Interval drainage and decrease in size of ventral epidural abscess and improvement in mass effect on the cervical and partially imaged upper thoracic cord. Residual collection as described above.