54-year-old female with osteomyelitis status post laminectomy, persistent back pain. Evaluate alignment, fracture, degeneration. There is severe disc space narrowing at L5-S1 with associated endplate cortical irregularity and indistinctness corresponding to the inflammatory changes seen on recent MRI study appear most compatible with discitis/osteomyelitis. Alignment is anatomic. The remaining lumbar vertebral bodies appear normal with mild anterior osteophyte formation.
Findings most compatible with discitis/osteomyelitis at L5/S1 corresponding to findings seen on recent MRI study. 