Findings:
Normal bony destruction and diffuse bone marrow oedema is noted in the L1 vertebra with decreased height of the vertebral body without retropulsion. The bone marrow oedema extends to the left-sided pedicle. Interrupted cortex of the anterior vertebral border and convex anterior borders.
High T2 signal is also seen involving the inferior endplate of the T12 vertebra and the intervertebral disc at T12/L1.
Diffuse surrounding soft tissue inflammation around the T12 and L1 vertebrae. Minimal epidural collection is also seen posterior to the L1 vertebral body without central canal stenosis.
Associated peripherally enhancing fluid collection is seen in the left iliopsoas muscle, measuring approximately 1.5 x 9 cm on the coronal images. Inflammatory changes are also noted within the right iliopsoas muscle.
Diffuse oedema and inflammatory changes is also seen involving the subcutaneous tissue of the lower back.
S-shape scoliosis of the spine is seen with left-sided lumbar and right-sided thoracic convexity.
Moderate disc degeneration is seen in the cervical spine with decreased signal intensity of the intervertebral discs. No disc herniation or relevant stenosis in the cervical or thoracic spine.
Mild, broad-based bulging and bilateral osteoarthritis of the facet joints is seen at L2/3 – L4/5 with moderate bilateral neural exit foraminal stenosis at this levels without nerve root impingement.
Grade 1 degenerative anterolisthesis is seen at L5/S1 with consequential pseudo-disc and bilateral osteoarthritis of the facet joints with mild increased T2 signal intensity of the left-sided facet joint at this level, in keeping with facet joint arthropathy with active synovial inflammation. Foraminal impingement of the right-sided L5 nerve root and high-grade neural exit foraminal stenosis at this level on the left.
Enlarged thyroid with cystic changes is seen, in keeping with multinodular goitre. Bilateral pleural effusion is seen, more significant on the left side.
Simple renal cysts are seen bilaterally.
Conclusion:
Spondylodiscitis at T12/L1 with destruction of L1 vertebral body and minimal epidural collection, without relevant central canal stenosis.
Associated soft tissue inflammation and left psoas abscess.
Foraminal impingement of the right-sided L5-nerve root.