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Foci of high STIR signal and contrast enhancement within the L2/3 disc, together with abnormal low T1 signal, high STIR signal and contrast enhancement of the L2 and L3 vertebral bodies adjacent to the L2/3 intervertebral disc. No epidural abscess. Abnormal enhancing tissue within the adjacent psoas muscle at those levels is present. On the right. a small region (7mm) of high T2/low T1 with only peripheral enhancement is present consistent with a small abscess.
The conus terminates normally at the L1 level, with normal signal characteristics.
Vertebral body height and alignment are within normal limits. No significant spinal canal or intervertebral foraminal stenosis. T12 haemangioma.
Conclusion: In this clinical context (fever, back pain) features are those of L2/3 discitis-osteomyelitis without epidural abscess, and with a tiny right sided paraspinal abscess.