MRI confirms the diagnosis of spondylodiscitis. Also, there are three small epidural abscesses; two located behind L5-S1 in the anterior thecal sac and one located posteriorly behind S2.
Indeed, there is an important narrowing of the L5-S1 intervertebral space with vertebral plateau edema, focal enhancement (and enhancement of adjacent soft tissue) following gadolinium administration.
The vertebral bodies also appear diffusely hypo-intense, although still slightly hyper-intense in comparison to intervertebral discs. This finding is probably related to medullary reconversion in responses to the infectious process. Other findings include a central discal herniation at L4-L5.