 There are postsurgical findings of a flap closure in the lumbosacral region. There are erosive changes, enhancement, and decreased T1 marrow signal of the L3-L5 spinous processes left posterior iliac bone with surrounding edema and enhancement of the subcutaneous tissues and posterior paraspinal muscles. There is no evidence of epidural fluid collections in the lumbosacral spine. A subcutaneous drain is partially imaged and courses posterior to the spine at the levels of L2-L4, with a nonspecific left posterior subcutaneous fluid collection that measures 5 mm in width. Disc desiccation, posterior disc osteophyte complexes, and lumbar facet degeneration is present in the lower lumbar spine, causing mild bilateral neural foraminal narrowing at the L3-L4, L4-L5, and L5-S1 levels, but no significant spinal canal stenosis. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The spinal cord and cauda equina nerve roots display normal signal and morphology. There are nonenhancing renal cysts within the right kidney.
1.Findings related to flap closure for a sacral decubitus ulcer with signs of regional cellulitis and osteomyelitis of the L3-L5 spinous processes and left posterior iliac bone without associated epidural abscess or discitis, although postoperative effects can serve as confounding factors.2.Mild degenerative changes of the lower lumbar spine without spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.