C5 and C6 vertebral body oedema and enhancement are associated with mild restricted diffusion and a small focus of enhancement in the intervening intervertebral disc on the left. Left anterior epidural soft tissue thickening and enhancement extends into the neural foramen and prevertebral space, associated with displacement of the cord posteriorly, but without associated cord indentation. No discrete fluid collection identified. The cord is normal in signal in calibre, with no enhancement or abnormal signal identified.
The differential is between discitis/osteomyelitis, associated with a left anterior epidural, foraminal and prevertebral phlegmon or a metastatic deposit.