 There are post-surgical findings related to prior lipomyelomeningocele repair and laminectomies of the lower lumbar spine. The vertebral column alignment is unchanged in alignment. There is unchanged minimal anterior wedge deformities of the L1 and L2 vertebral bodies. There is mild to moderate loss of disc height at the T12-L1, L1-2, and L2-3 levels. There are scattered T1 hyperintense foci in the lumbar spine, which are consistent with focal fatty replacement or fat-containing hemangiomas. The vertebral bone marrow signal is otherwise unremarkable. There are multilevel degenerative changes without significant spinal canal stenosis. The conus terminates at the L3-4 level, unchanged from prior study. Redemonstrated is clumping of the cauda equina nerve roots, which appear inseparable from the dorsal aspect of the thecal sac at the lower lumbar levels. Prone imaging demonstrates no significant translation of the spinal cord. There are postoperative changes of the paravertebral soft tissues.
1. Post-surgical findings related to prior lipomyelomeningocele repair and laminectomies with persistent low lying spinal cord and clumping of the cauda equina nerve roots, which appear inseparable from the dorsal aspect of the thecal sac at the lower lumbar spine, without significant anterior translation of the distal cord on prone imaging, suggestive of arachnoiditis with cord tethering.2. Multilevel degenerative changes of the lumbar spine without significant spinal canal stenosis.  