Toe walking and brisk reflexes. Evaluate for pathology. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits aside from loss of lumbar lordosis which may in part positional. Bone marrow signal is benign. The conus medullaris is normal in position at the lower L1 level without evidence of cord tethering. No abnormal enhancement.Individual levels described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Loss of lumbar lordosis which may be in part positional. Lumbar spine MRI is otherwise unremarkable.