Female, 46 years old, with idiopathic scoliosis and café au lait macule. Assess for spinal cord abnormality. A moderate levoscoliosis of the lumbar spine is seen. In the sagittal plane, the vertebral bodies are well aligned with respect to each other.Fatty degenerative endplate signal alteration is seen at L2-3. Mild edematous endplate degenerative signal is demonstrated in the lower thoracic spine. Otherwise, no areas of significant or concerning marrow signal abnormality are detected.Mild right lateral wedging of the L2 vertebral body is seen related to the scoliotic curvature. Vertebral body height and morphology are otherwise unremarkable.The visualized spinal cord and conus are unremarkable. The conus tip terminates at the L2 level which is the lower boundary of normal. The nerve roots of cauda equina are unremarkable. No evidence of fatty filum or any intraspinal mass is seen.Loss of disk height and T2 signal are seen throughout the lumbar spine, probably most severely affecting the L2-3 level. Additional level specific findings are as follows:T11-12: Marked left facet hypertrophy. Bulging disk asymmetric to the left. Effacement of the left lateral thecal sac without cord impingement. Severe left foraminal narrowing.T12-L1: Facet hypertrophy. No significant spinal canal or neuroforaminal stenosis.L1-2: Right greater than left facet hypertrophy and ligamentum flavum thickening. Mild bulging disk. No significant generalized spinal canal stenosis. Moderate right foraminal narrowing. L2-3: Right-sided facet hypertrophy. Bulging disk asymmetric to the right far lateral region. Mild narrowing of the right lateral recess. No significant generalized spinal canal stenosis. Severe right foraminal narrowing. L3-4: Facet hypertrophy and ligamentum flavum thickening. Mild bulging disk. Mild generalized spinal canal stenosis. No significant neuroforaminal narrowing. L4-5: Severe bilateral facet hypertrophy with a prominent facet effusion on the right. Bulging disk asymmetric to the right foraminal region. Mild generalized spinal canal stenosis. Severe bilateral foraminal narrowing. L5-S1: Facet hypertrophy. No significant spinal canal stenosis. Mild left foraminal narrowing.
1.Moderate levoscoliosis.2.Superimposed degenerative findings which contribute to variable foraminal narrowing, severe at some levels as above, and scattered mild spinal canal stenosis.3.No abnormalities of the visualized spinal cord, conus or cauda equina are seen. No evidence of any intraspinal mass is detected.