64 years Female (DOB:11/12/1952)Reason: eval for worsening osteomyelitis History: eval for worsening osteomyelitisPROVIDER/ATTENDING NAME: YASMIN H. KARIMI Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal or neural foramina.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Exam is degraded due to motion artifact.Incidental note is made of partial empty sella.MRI thoracic spine:At T11-T12 there is erosion of the endplates and T2 signal hyperintensity within the T11-T12 vertebral bodies as well as the T11-T12 disc. There appears to be some adjacent epidural thickening which is not well imaged on this exam. This involves predominantly in the right hemicord canal and right anterior aspect of the spinal canal. Compared to the 11/23/2016 exam the epidural component appears to be slightly thicker..A lesion adjacent to the aorta at the L3 vertebral level is not well imaged on this exam. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. There is a large left renal cyst present measuring 46 x 34 mm axial dimensions which is incompletely visualized on this exam.
1.Findings are suspicious for T11-T12 discitis osteomyelitis and possibly epidural involvement. Compared to the prior exam the subdural component appears to be thicker on the current exam.2.A periaortic lesion is not well demonstrated on this exam because it is at the periphery of the imaging. It is not clear if this has progressed.3.To the extent of visualization is no compromise of the cervical spinal cord or exiting nerve roots. Please note that the cervical spine exam is degraded by patient motion and lack of axial imaging.4.Thoracic spine exam is degraded due to patient motion and likely of intravenous contrast administration.