PMC3615962_01
Centered at the L4-5 level is enhancing soft tissue in the ventral epidural space and paraspinous region. There is loss of disc space height and enhancement of the vertebral body endplates. There is mass effect on the thecal sac. These findings are consistent with discitis, osteomyelits, epidural abscess, and paraspinous abscess.
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A magnetic resonance imaging study of the lumbar spine revealed enhancing paravertebral soft tissue at L4-L5 concerning for underlying infection (Figure 1).