Contrasted magnetic resonance imaging (MRI) of the spine shows kyphotic destruction of thoracic vertebrae T10, T11, and T12 with abnormal high signal on T2 and low signal on T1 with heterogeneous enhancement in addition to a large heterogeneous paravertebral multiloculated prevertebral and paraspinal abscess extending from T7 through T12 with a peripheral thick wall that has low T2 and high T1 signal with intense enhancement. These are associated with an epidural collection and retropulsed collapsed T11, which result in complete attenuation of the anterior subarachnoid spaces and compression of the distal cord.