Female, 69 years old. New metastatic brain lesion with decrease perineal sensation, bowel and bladder incontinence - assess for cord compression. For the purposes of numbering, there are five lumbar-type vertebral bodies. Vertebral body heights are normal. Alignment is within normal limits. No suspicious focal marrow signal abnormality.The conus is normal in signal and morphology and terminates at L1-2. Lipomatous change involving the filum terminale is again noted, with thickening up to 4 mm in maximal transaxial dimension, unchanged. There are mild multilevel disc degenerative changes and facet hypertrophy. There is mild bilateral neural foraminal narrowing at L3-4 and L4-5, without significant central canal stenosis at any level.There are no pathologic foci of enhancement.
Mild degenerative changes of the lumbar spine, without evidence of metastatic lesions or cord compression. Fatty filum. Conus in normal position.Findings were discussed via telephone with Dr. Steiman at 11:55 PM on 03/11/2016.