Lumbar epidural phlegmon/abscess. To evaluate for other foci of infection. Cervical Spine: The vertebral alignment is straightened in the sagittal plane. The vertebral body heights are preserved. There are multilevel disc-osteophyte complexes and ossification of the posterior longitudinal ligament, which result in narrowing of the spinal canal and indentation of the spinal cord, particularly at C4-5 and C5-6. The spinal cord signal is otherwise normal. The vertebral bone marrow signal is unremarkable. There is no abnormal intraspinal contrast enhancement. There is no abnormal diffusion restriction. There is a right posterior neck subcutaneous lipoma that measures 12 mm in thickness.Thoracic Spine: The vertebral alignment is anatomic. The vertebral body and disc heights are preserved. There are mild multilevel anterior osteophytes, but the spinal canal and neural foramina are patent. The spinal cord signal is normal. The vertebral bone marrow signal is unremarkable. There is no abnormal epidural contrast enhancement. There is no abnormal diffusion restriction. The paravertebral soft tissues are unremarkable.
1. No cervical or thoracic osteomyelitis, discitis, or epidural abscess.2. Multilevel degenerative cervical spondylosis and ossification of the posterior longitudinal ligament that result in spinal cord indentation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.