 There are postoperative findings related to anterior fusion of C5 and C6 with mild anterolisthesis of C5 on C6 and mild impingement upon the spinal cord at this level. There may be associated T2 hyperintensity in the spinal cord at this level versus artifact. There is scattered fatty infiltration in the bone marrow, but no evidence of edema. The vertebral body heights are essentially preserved. There is encephalomalacia in the right pons. There is high T2 signal of the intervertebral disc T9-T10 with erosions of the inferior endplate of T9 and the superior endplate of T10, as well as slight focal kyphosis. There is epidural extension of the disc material and fluid with impingement upon the spinal cord, which displays patchy high signal in this region, and paravertebral extension of the inflammatory process with multiple small fluid collections, particularly on the right side. At the T9 and T10 levels, there is also hypertrophy of the ligamentum flavum, which contributes to severe spinal stenosis. The neural foramina is also severely narrowed bilaterally. There are multiple intravertebral disc herniation in the inferior endplates of T6 through T8 and T10 through T12 and the superior and inferior endplates of T11 and T12, with associated degenerative endplate marrow signal alterations. There is bilateral renal atrophy, with multiple cysts.There are multiple intravertebral disc herniation with associated degenerative marrow changes. At L4-L5 and L5-S1, there are disc bulges, ligamentum flavum hypertrophy, and bilateral facet degenerative changes with effusions and synovial cysts with mild spinal canal stenosis and at least moderate narrowing of the neural foramina bilaterally at both of these levels. There is straightening of the lumbar spine alignment in the sagittal plane.
1. Discitis-osteomyelitis at the level of T9-T10 with epidural extension that results in spinal cord compression and mild edema. The infectious process also extends into the paraspinal region with what appears to be multiple small abscesses. However, characterization is limited due to the lack of intravenous contrast. 2. Multiple thoracic and lumbar intravertebral disc herniations.3. Degenerative spondylosis at L4-L5 and L5-S1 with at least moderate narrowing of the neural foramina bilaterally and mild spinal canal stenosis.4. Postoperative findings related to anterior fusion of C5 and C6 with mild anterolisthesis of C5 on C6 and mild impingement upon the spinal cord at this level and possible myelomalacia versus artifact. 5. Chronic right pons infarct. 