62 years Female (DOB:8/26/1954)Reason: Bowel incontinence history of MS History: Unstable gaitReferring Attending: THOMAS J. KELLY Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. No abnormal enhancing lesions are appreciated in the lumbar spine. There is some multilevel disc desiccation.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a large cyst present along the superior pole of the right kidney measuring 49 x 52 mm axial dimension on the superiormost axial image. On the most lateral sagittal imaging measures 41 x 61 mm. Please note that cyst is not inflated. This exam.. It is also identified on a CT of the abdomen from 12/27/2010 where it measured 56 x 50 mm axial dimensions. Subcentimeter cysts are present in the left kidney. There is a 14 mm cyst inferior pole of the right kidney which can also be identified on the 2012 CT. At that time it measured 14 mm as well.
1.No compromise to lumbar spinal canal or neural foramina.2.No abnormal lesions are identified within the lumbar spinal canal or in the conus medullaris.3.Multiple renal cystic lesions. The largest is in the right kidney but is not entirely included on this exam.