MRI cervical and thoracic spines
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There is a large posterior epidural abscess measuring 10 x 18 mm in axial dimensions (AP x ML) and extends from the level of C3 down to T4/5 level. Internally, there is a high T2/fluid signal, low T1 and peripheral rim enhancement. Associated mass effect causes severe spinal canal stenosis and compression of the spinal cord, without cord signal changes.
In addition, there is an abnormal high signal within the C4, C5 vertebral bodies and C4/5 intervertebral disc, with abnormal enhancement in these areas. Fluid signal within the C4/5 facet joints bilaterally is suggestive of septic arthritis.
Enhancing oedema of right paraspinal muscles involving the cervical and thoracic paraspinal muscles, predominately on the right, with multiple small intramuscular abscesses.
Abnormal bilateral posterior pleural enhancement.