30-year-old female with lumbar back pain status post epidural anesthesia, evaluate for a epidural abscess There is transitional lumbosacral anatomy. There is sacralization of L5 with a rudimentary disk at L5-S1. For the purposes of this exam, the last fully formed disk is at L4-L5.Alignment is anatomic. No abnormal marrow signal. Vertebral body heights and disk spaces are maintained. Normal signal of the distal cord and conus, ending at L1. No evidence of epidural abscess. T1 hyperintense normal caliber fatty filum is incidentally noted extending from L2 to L5.T12-L1: No significant spinal canal or neural foramina stenosis.L1-L2: No significant spinal canal or neuroforaminal stenosis.L2-L3: No significant spinal canal or foraminal stenosis.L3-L4: No significant spinal canal or neuroforaminal stenosis.L4-L5: No significant spinal canal or foraminal stenosis.L5-S1: Sacralization of the L5 vertebral body. No significant spinal canal or foraminal stenosis.
1.No evidence of epidural abscess or collection.2.Fatty filum is incidentally noted with normal conus termination. This is a normal variant, but can be seen associated with tethered cord. Please correlate clinically.3.Transitional spinal anatomy. If surgery is to become contemplated, correlation with imaging of the entire spine is recommended.