Benign intracranial hypertension [G93.2] / Fusion of spine, thoracic region [M43.24] / Low back pain [M54.5], Reason for Study: ^Reason: 24 weeks pregnant, patient having severe back pain, LP shunt, NO CONTRAST, Lumbar/thor congential disc fusion Thoracic SpineThere are fusion of vertebral bodies from T8 to T10 vertebral bodies especially anterior and midline which lessened normal thoracic kyphotic angulation. However, the spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. There is no evidence of spinal canal or neuroforaminal stenosis. There is no evidence of syrinx. Intervertebral discs except the fused area appear to be normal.L-Spine:For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There are multiple ovoid shaped fluid containing lesions on the left side of L3 spinous process arranged in a linear direction and the largest one is measured about 6mm x 9.9mm. There are other small fluid containing lesions on L34 posterior epidural space which replacing normal fat signal intensity (series 18, #25, series 19, #25). Another similar lesion was seen on L23 intervertebral disc level. However, certainly, those lesions do not demonstrate any mass effects against surrounding structures. These lesions likely represent procedure related soft tissue fluid collections such as small seroma, the chance of small CSF collections especially epidural lesions would be less likely.There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.
Multifocal benign looking fluid containing extra spinal and epidural lesions as described above. Follow up scan can be considered if clinically indicated.