Reason: spinal epidural abscess, cauda equina syndrome History: bilateral sciatica, possible urinary retention. There is no significant spinal canal stenosis or neural foraminal stenosis in the lumbar spine. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There are several small foci of increased T1 and T2 signal within the vertebral bodies compatible with benign hemangiomas or focal fat. The vertebral bone marrow signal is otherwise unremarkable. The spinal cord displays normal signal and morphology. The tip of the conus is located at the L1-L2 level. There is trace nonspecific edema within the posterior lumbar subcutaneous soft tissues. There is trace free fluid within the pelvis, which may be physiologic.
1. No significant spinal canal stenosis or neural foraminal stenosis in the lumbar spine. 2. No evidence of epidural fluid collections, although assessment is limited due to the lack of intravenous contrast.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.