 The spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. The distal spinal cord and conus are within normal limits with the conus terminating at the L1-L2 level. There is unchanged clumping of left caudate equina nerve roots from L1 to L4 without corresponding abnormal enhancement.There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the spine.
Continued stable appearance of clumped cauda equina nerve roots likely relating to arachnoiditis. No evidence of drop metastases.