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There is destruction of the L1 and L2 vertebral bodies with associated paraspinal and bilateral psoas abscesses (L>R) There is retropulsion of the debri displacing/peeling off the posterior longitudinal ligament causing spinal stenosis and cauda equina compression at this L1/L2 level.
At C7/T1 level, there is destruction of the intervening disc with an associated paraspinal collection, which is extending inferiorly to the level of T5. The C6, C7, T1, T2, T3, T4 and T5 bodies demonstrate abnormal signal, with collapse of the T4 vertebral body causing mild kyphosis. There is also spinal stenosis and cord compression at this level.