 There is a STIR and T2 -hyperintense epidural collection extending from mid-T8 to mid-T11 levels. On post-contrast imaging, there is irregular nodular peripheral enhancement with septation. There is enhancement and thickening of the dura extending from T6 to L1. No additional abnormal epidural collections are identified and the leptomeninges do not enhance. There is mild enhancement in the articular facets of T9, T10, and T11, particularly on the left. There is no definite cortical destruction. This dorsal collection compresses and flattens the spinal cord anteriorly and there is questionable, mildly increased cord signal seen at the T11 and T12 levels immediately inferior to the area of compression. No additional areas of cord signal abnormality are noted. Vertebral body heights are preserved and alignment is normal.Multiple cystic collections are again seen in the pelvis, better evaluated on CT from 3/9/15 and subsequent ultrasound.
1.Epidural collection from T8 to T11 levels with adjacent dural thickening suspicious for an abscess however less likely possibility of a resolving hematoma cannot be entirely excluded..2.Mild marrow enhancement in the adjacent T9, T10, and T11 articular facets which may be reactive in etiology but osteomyelitis cannot be excluded.3.Preliminary findings before post-contrast imaging discussed with Dr Vasenina by phone at 12:00 on 3/11/15.