32-year-old male with right-sided neck pain and right lower back pain. Cervical Spine: The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant disc bulge/herniation, spinal canal stenosis, or neuroforaminal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a small right maxillary sinus retention cyst. There is a subcentimeter Thornwaldt cyst.Lumbar Spine: There is prominent lumbosacral epidural lipomatosis with substantial narrowing of the spinal canal at L4, L5, and throughout the sacrum. There are also disc bulges are noted at L4-5 and L5-S1, which contribute to the spinal canal narrowing. There is also mild bilateral neural foraminal narrowing at L4-5 and L5-S1. There is no significant spinal canal or neural foraminal narrowing at T12 through L4. There is no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The imaged distal spinal cord and cauda equina are unremarkable. The paravertebral soft tissues are unremarkable.
1.No spinal canal or neural foraminal stenosis in the cervical spine.2.Prominent lumbosacral epidural lipomatosis with substantial narrowing of the spinal canal at L4, L5, and throughout the sacrum. In addition, disc bulges are noted at L4-5 and L5-S1 contribute to the spinal canal narrowing and result in mild bilateral neural foraminal narrowing at L4-5 and L5-S1.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.