There is also marked prevertebral soft tissue swelling associated with the T2 vertebral lesion with multiple rim-enhancing fluid collections consistent with abscesses measuring up to 2.5 cm in size in the prevertebral soft tissues. This process extends from the C7 level to the T4 level. The extent of tissue necrosis suggests fungal etiology.
The thoracic vertebral body heights and alignment are maintained. The thoracic spinal cord is preserved and morphology and signal intensity.
1. T2 vertebral body edema and enhancement compatible with osteomyelitis. There is also abscess formation in the prevertebral soft tissues. Additional ventral epidural collection as detailed above. These findings are concerning for an infectious process and the extensive tissue necrosis suggests fungal etiology.
2. Additional signal abnormality within the T7 vertebral body concerning for a second area of osteomyelitis. No associated paravertebral soft tissue changes are seen at this level.
Study description: LPCH MRI T SPINE W AND WO CONTRAS 72157