Female, 27 years old, with Ehlers-Danlos syndrome status post cervical fusion presenting with neck pain and uncontrollable belching/hiccuping. Evidence of posterior instrumented fusion is seen from the occiput down to T2. The spinous processes have been resected through the operative region. There is a T2 hyperintense and T1 intermediate intensity fluid collection within the posterior soft tissues of the neck spanning from C1 down to C7 measuring up to 9 cm in craniocaudal length and 3.5 x 1.7 cm in maximal transaxial dimensions.Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow edema or pathologic marrow replacement is seen. The visualized spinal cord demonstrates normal signal intensity and morphology. The intervertebral discs are preserved. No significant compromise of the spinal canal or neural foramina is seen.
1.Evidence of instrumented fusion is seen from the occiput down to T2. There is a fluid collection within the posterior soft tissues of the operative bed which, in the recent postsurgical period, is expected and may represent a seroma based on signal characteristics.2.Spinal alignment is anatomic and vertebral body morphology is unremarkable. The spinal cord shows normal morphology and signal characteristics.