Female, 37 years old, with right sided pain and sciatica. Spinal alignment is within normal limits. Vertebral body heights are maintained. Bone marrow signal intensity is within normal limits. The visualized spinal cord and conus demonstrate normal signal intensity and morphology. The conus tip terminates at the L1 level which is normal. Fatty infiltration of the filum terminale is seen with the filum measuring up to 2 mm in thickness. No epidural abnormalities are suspected.The intervertebral disk spaces are preserved. Additional level specific findings are as follows:L1-2 to L3-4: Unremarkable. L4-5: Facet hypertrophy and ligamentum flavum thickening. Mild bulging disc with a right foraminal annular fissure. Mild generalized spinal canal stenosis without nerve impingement. Mild bilateral neuroforaminal narrowing. L5-S1: Facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis.
1.Mild disc degeneration at L4-5 with a disc bulge and right foraminal annular fissure. Mild canal stenosis is seen without nerve root impingement. 2.Facet arthropathy is evident at L4-5 and L5-S1.3.Incidental note is made of fatty infiltration of the filum terminale. This can be an asymptomatic incidental finding in the absence of symptoms of tethered cord.