There is altered signal intensity contiguously involving L1, L2, L3 vertebra and intervening discs showing heterogeneous enhancement associated with pedicle destruction. There are also paravertebral and large bilateral psoas abscesses (left > right) showing peripheral rim enhancement with central diffusion restriction.
There is symmetrical, diffuse disc bulge at L3/L4 and L4/L5 levels.
Sacralisation of L5 vertebra.