Paresthesias. Unusual pain in her right lower quadrant, around, and below the scar. The vertebral column alignment is within normal limits. There is a small intravertebral disc herniation in the superior endplate of L4. Otherwise. the vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. However, the appearance of the bowel is the right pelvis may be abnormal.
1. No evidence of spinal canal stenosis.2. The appearance of the bowel is the right pelvis appears to be abnormal, perhaps representing adhesions of inflammation, for example, although this area is incompletely characterized. Dedicated pelvic imaging via MRI, ultrasound, or CT may be useful for further investigation. 