Reason: Evaluate for epidural abscess History: lumbar pain+ tenderness,. Five lumbar-type vertebrae are identified. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The tip of the conus terminates at the level of L2. No pathological enhancement is identified.There is mild nonspecific edema within the posterior subcutaneous fat without discrete fluid collection. The paravertebral soft tissues are otherwise unremarkable.At L1-L2, there is mild facet hypertrophy on the left without associated stenosis. At L4-L5, there is a mild disc bulge and bilateral mild facet hypertrophy with associated minimal foraminal stenosis without significant central canal stenosis. At L5-S1, there is a mild disc bulge and bilateral mild facet hypertrophy without significant stenosis. Otherwise, no significant disc pathology or stenosis within the lumbar spine.
Mild degenerative changes without evidence of epidural abscess.