82-year-old female with spinal stenosis. Presented with severe back pain and positive blood cultures. Please evaluate for epidural abscess. Please note that while there are no specific findings to suggest an epidural abscess, this exam cannot exclude an epidural abscess. Instead an MR is recommended for further evaluation. The exam is significantly limited by patient motion artifact and large body habitus. Within these limitations, the following observations are made. The bones are diffusely osteopenic. The alignment of the thoracic spine is anatomic. The vertebral body heights are grossly maintained. Multilevel degenerative disk disease is seen. Anterior and posterior osteophyte formation is seen at multiple levels, however there is no significant bony compromise of the central canal. The paraspinal soft tissues are grossly unremarkable. LUMBAR SPINE
1. Limited exam due to patient motion artifact and large body habitus.2. This exam cannot exclude an epidural abscess. An MR is recommended for further evaluation.3. Multilevel degenerative disk disease with central canal compromise at multiple levels.