 There are postoperative findings related to T2-L1 posterior spinal fusion with residual mild scoliosis with a leftward apex at T2-T3 and a rightward apex at T8-T9. There is a slightly heterogeneous T1 and T2 hyperintense posterior epidural fluid collection extending from C3 through T1 that measures up to 4 mm in thickness and results in mass effect upon the central canal, spinal cord, with spinal canal stenosis. There is associated abnormal T2 hyperintensity within the spinal cord at the C5-C6 level. In addition, there is reversal of the normal cervical lordosis and mild posterior disc osteophyte complexes at C4-C5 and C5-C6 that also contribute to the spinal canal narrowing. There are also scattered thoracic epidural blood products without spinal cord compression. The vertebral body and disc space heights are preserved. There is mild paranasal sinus mucosal thickening and minimal fluid within the mastoid air cells. There is T2 hyperintensity within the left lung base and a small right pleural effusion.
1.Post-operative findings related to T2-L1 posterior fusion and T2-T4 hematoma evacuation. There is a 4 mm thick posterior epidural hematoma at C3-T1 that in combination with reversed cervical lordosis and mild disc disease results in cord compression with abnormal T2 hyperintense cord signal. There are also residual epidural blood products within the thoracic spine without cord compression. 2.Small right pleural effusion and left lower lobe signal abnormality that may represent atelectasis or pneumonia. 