Male, 58 years old, with MRSA endocarditis and back pain, concern for epidural abscess. Cannot receive gadolinium due to GFR of 8. Spinal alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement or marrow edema is observed.Within the limitations of a noncontrast examination, no epidural inflammation or fluid is seen. Diffusion-weighted images show no evidence of restricted diffusion within or around the spine. The visualized distal spinal cord, conus and cauda equina are unremarkable.L1-2: Unremarkable. L2-3: Mild facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis. L3-4: Mild facet hypertrophy and ligamentum flavum thickening. Right lateral disc protrusion resulting in mild effacement of the right lateral recess and mild narrowing of the right neural foramen, unchanged. L4-5: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. Mild generalized spinal canal narrowing and mild bilateral foraminal narrowing, unchanged. L5-S1: Mild facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis.
1.No evidence of epidural abscess or any other active inflammatory process in the spine.2.Mild degenerative disease as above, unchanged from the recent prior MRI.