Compression of brain [G93.5] / Low back pain [M54.5], Reason for Study: ^Reason: chiari malformation, lower back pain, evaluate for tethered cord or syrinx. Please do with tethered cord protocol History: Chiari , lower back pain evaluate for tethered cor There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. There is no evidence of syrinx.The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level. The filum terminale is normal in size and signal intensity. There is no evidence of syrinx, tethered cord or spinal dysraphism. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: Diffuse bulging of disc which results bilateral lateral recess minimal stenosis. No neuroforaminal narrowing or spinal stenosis. L5-S1: Diffuse bulging of disc which results bilateral lateral recess minimal stenosis. No neuroforaminal narrowing or spinal stenosis.
1. No evidence of syrinx. No evidence of tethered cord.2. Diffuse bulging of discs with minimal bilateral lateral recess stenosis at the level of L45 and L5S1.