 The vertebral body and disc heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits for configuration with the conus terminating at the mid-L3 level. The lumbar spine demonstrated normal alignment, with a normal lumbar lordosis. There is T1 hyperintense linear focus at the filum terminale that measures up to 2 mm in width and 20 mm in length. There is no significant disc bulge, herniation, or spinal canal or neural foramen stenosis within the lumbar spine. On prone imaging, there is no significant anterior translation of the conus. There is left hydronephrosis and marked bladder distension.
1. Low-lying conus medullaris associated with a fibrofatty filum terminale and suggestion of tethered cord.2. Left hydronephrosis and marked bladder distension.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.