 There is mild straightening of the normal lumbar lordosis and suggestion of incomplete formation of the posterior elements at S2 and S3. 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 with the conus terminating at the L2 level. There is no evidence of fibrofatty filum. There is mild lumbosacral epidural lipomatosis with prominence of the epidural venous plexus, but no significant disc bulge, herniation, spinal canal or foraminal stenosis within the lumbar spine. The paraspinal soft tissues and subcutaneous tissues are unremarkable.
1. Suggestion of mild spina bifida occulta at S2 and S3. A focused CT of this region may be useful for further characterization, if clinically indicated.2. No evidence of myelomeningocele or fibrofatty filum.3. Mild lumbosacral epidural lipomatosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.