Marked abnormality at the C5-6 level with fragmentation and destruction of the endplates resulting in focal kyphosis. There is a distraction of the facets joints and interspinous space. Mildly retropulsion fragment. Dense material noted in the epidural space, mainly anteriorly, suggestive of epidural collection causing severe mass effect on the thecal sac. This epidural thickening extends from at least C4-C7. Severe prevertebral soft tissue thickening, extending from the skull base to the upper thoracic spine.
There is a periosteal reaction along the anterior vertebral cortex of C4 and C6.
The above findings were in keeping with subacute spondylodiscitis, as confirmed later on MRI.