Patient presenting with lower limb weakness.
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MRI demonstrates features consistent with C5/6 diskitis osteomyelitis with cord compression. Note that on the images provided there is no evidence of an epidural abscess. Rather, the whole epidural mass enhances homogeneously consistent with an epidural phlegmon.
The patient went on to have surgical decompression confirming the presence of infection. Microbiology demonstrated gram-positive cocci.