Myxopapillary ependymoma status post surgery and proton RT in 2014. There are stable postoperative findings related to myxopapillary ependymoma resection and radiation therapy with confluent fatty bone marrow signal in the lumbosacral vertebrae. There is no evidence of tumors within the spinal canal. The vertebral column alignment is unchanged. The vertebral body and disc space heights are preserved. However, there is prominence of the ligamentum flavum at multiple levels of the thoracic spine, which results in neural foramen stenosis, but no spinal cord compression. There appears to be clumping of cauda equina nerve roots in the upper lumbar spine region. There is an unchanged mass in the region of the right adrenal gland that displays fat signal characteristics.
1. Stable post-treatment findings without evidence of recurrent tumor in the spine.2. Possible arachnoiditis in the upper lumbar region.3. Unchanged mass in the region of the right adrenal gland that displays fat signal characteristics, which may represent a lipoma or angiomyolipoma. 