Diagnosis: Abdominal pain, right lower quadrantClinical question: r/p cauda equina/stenosisSigns and Symptoms: unable to hold urine 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet hypertrophy of a moderate degree at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is some mild ligamentum flavum hypertrophy at this level.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.
1.There is no compromise to lumbar spinal canal or exiting nerve roots. No abnormal mass lesions are appreciated in the lumbar spine.2.There are some degenerative changes present in the lower lumbar spine.