Fatty filum, scoliosis, symptom changes. Please do on 3T. Urinary changes For the purposes of numbering, there are 5 lumbar type vertebral bodies. Conus appears to terminate at the L2-L3 level. Fatty infiltration of the filum terminale is noted below the upper L4 level and measuring up to 2.5 mm in the AP dimension. There is severe levoscoliosis with apex near the thoracolumbar junction which has progressed since remote study from 10/29/2008. There is trace prominence of the central canal at the conus. Prone images demonstrate no definite anterior motion of the conus although scoliosis makes evaluation difficult. No significant spinal canal stenosis or neural foraminal narrowing in the lumbar spine is appreciated.
1. Conus appears to terminate at the lower L2/L2-L3 level which is borderline low. There is a fatty filum terminale measuring up to 2.5 mm in thickness at the L4 level. Overall findings are somewhat suggestive of tethered cord and can be correlated with clinical exam.2. Trace prominence of the central canal at the conus without discrete syrinx.