Low back pain with suspected CSF leak. Dural enhancement in the brain and cervical spine. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position. No fluid collections are seen in the lumbar spine or paraspinous soft tissues.Mild multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: Disk desiccation and mild bulge. No spinal canal or neural foraminal stenosis.L4-L5: There is disk desiccation, mild bulge and a Schmorl's node involving the superior endplate of right L5. There is no significant spinal canal stenosis or neural foraminal stenosis. Bilateral facet arthropathy.L5-S1: There is disk desiccation, mild bulge, and bilateral facet arthropathy. There is no significant spinal canal or right foramina narrowing. There is mild left neural foramina stenosis.Paraspinous soft tissues are within normal limits.
1. No fluid collections are seen in the lumbar spine or paraspinous soft tissues to suggest site of CSF leak. If there is continued suspicion for CSF leak and intracranial hypotension, consider myelogram for further evaluation.2. Mild degenerative changes as detailed above.