55-year-old male with a history of multiple myeloma presenting with sepsis and left lower extremity weakness. Please assess for epidural abscess. No large epidural collection is visualized. There is diffuse heterogeneous signal abnormality within the vertebral marrow. Diffuse spondylotic changes are visualized, especially affecting the thoracic and lumbar spine including compression fractures in T2, T5, T7, T9, T10, T12, L2, and L4. The T2 vertebral body appears mildly STIR hyperintense with slight progressive loss of height when compared to the prior exam, with new dorsal convexity of the cortex. There is no adjacent spinal canal stenosis. At L2 the retropulsion continues to measure 5 mm and there is moderate effacement of the anterior thecal sac. No gross abnormal cord signal is visualized. Kyphoplasties of T11, L1, and L4 are again seen. The conus appears to terminate at the L1 level.
1. No large epidural collection is visualized. There is grossly normal cord signal.2. Mild progression of compression deformity with associated marrow edema at T2, with minimal retropulsion.3. Persistent retropulsion of the compressed L2 vertebra is unchanged.