37-year-old female with fever and back pain. Evaluate for discitis. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. No evidence of discitis-osteomyelitis or epidural or paraspinous collections to suggest abscess. Diffuse low T1 marrow hypointensity is seen which is nonspecific. Scattered foci of T1 and T2 hyperintensities are nonspecific and compatible with foci of fat or small hemangiomas. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. Minimal degenerative changes are seen in the lumbar spine as described below:T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-5: There is a minimal disc bulge, minimal facet hypertrophy and minimal ligamentum flavum thickening but no significant compromise to spinal canal or neural foramina.L5-S1: There is a minimal disc bulge, minimal facet hypertrophy and minimal ligamentum flavum thickening but no significant compromise to spinal canal or neural foramina.
1.No evidence of discitis-osteomyelitis or epidural or paraspinous collections to suggest abscess. 2.Diffuse low T1 marrow hypointensity which is nonspecific but can be seen with marrow reconversion related to chronic illnesses, chronic anemias, as well as marrow proliferative disorders3.Minimal degenerative changes without significant spinal canal or neural foraminal stenosis.