Marked alteration of the marrow signals involving bodies of T4 and T5 vertebral bodies showing predominantly T1 low and T2 high signals with erosion of the opposing end plates. T4/5 disc showed marked increased T2 signals.
A small intra-spinal anterior epidural collection is noted indenting the ventral aspect of the spinal cord with a linear high T2 signal at the spinal cord opposite T3/4 level reflecting myelomalacia changes.
There is also an extension to pre- and paravertebral regions with bilateral paraspinal collections, more on the left side mounting to left paraspinal abscess formation.