Low back pain for 2 years and urinary incontinence Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position at the mid L1 level. There is minimal fatty infiltration of the filum terminale at the L5-S1 level measuring 1 to 2 mm in thickness. Prone images demonstrate appropriate ventral motion of the conus.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the lumbar spine. Paraspinous soft tissues are within normal limits. Please refer to separate report for findings in the pelvis.
1. There is no clear imaging evidence of tethered cord. Conus is in normal position at the mid L1 level, and there is appropriate ventral motion of the conus on prone images. There is however thin fatty infiltration of the filum terminale at the L5-S1 level, which is favored to be an incidental finding.2. No significant spinal canal or neural foraminal stenosis within the lumbar spine.