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Diagnostic strategy for possible infection

My wife was diagnosed with spinal stenosis a few months ago. Our slippery slope started with a Laminectomy in December. She has been in pain ever since (about 10 weeks). There are several possibilities: infection, surgical error, slow healing, sacroiliac problem. After multiple MRIs the radiologist sort of weasel words a possible infection:

" IDENTIFICATION OF ABNORMAL MARROW SIGNAL FROM L4 TO S1 WHICH APPEARS
MORE EXTENSIVE THAN PREVIOUS. THERE IS SOME ENHANCEMENT AT THE DISC
LEVELS AT L4-5 AND L5-S1 WITH SOME FLUID ENHANCING EPIDURAL SOFT TISSUE
TO THE RIGHT OF MIDLINE AT L4-5 AND
BEHIND THE L5 VERTEBRAL BODY AS DETAILED ABOVE. FINDINGS SUSPICIOUS FOR
PROGRESSING INFECTION. NO DISCRETE EPIDURAL ABSCESS IS IDENTIFIED."

After an earlier MRI  my wife was subjected to an aspiration. Nothing showed up in the culture(s). Blood work (2 rounds) did not indicate an infection .My wife had a PICC inserted for about 10 days and took oral anti infection meds. After the above MRI yet another aspiration has been scheduled.  We are not at all sure it will show anything. I would bet on another PICC and more shots-in-the-dark. We are very frustrated. Her pain is being controlled varying between 2 and 6.

I would very much appreciate your thoughts and suggestions.
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