Bilateral lower extremity weakness and numbness. Evaluate for cause. Status post debridement and wound closure on 6/2. Examination is motion degraded slightly limiting evaluation. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is heterogeneous with low T1 hypointensity without discrete destructive osseous lesions demonstrated. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: There is disc desiccation and mild diffuse disc bulge. No significant spinal canal stenosis. Minimal bilateral neural foraminal narrowing. Mild facet arthrosis in the lumbar spine. Minimal fluid is noted in the subcutaneous soft tissues at the level of the sacrum which extends below the field-of-view. Lack of contrast slightly limits evaluation however no discrete fluid collection or abscess involving the spinal canal or paraspinous soft tissues is demonstrated.
1. No findings to explain patient's symptoms. There is minimal fluid which is seen involving the superficial subcutaneous soft tissues overlying the visualized portion of the sacrum. No findings to suggest discitis-osteomyelitis in the lumbar spine. No epidural collections or abscess in the lumbar spine. No obvious paraspinous fluid collections.2. Mild degenerative changes, particularly at L5-S1, without significant spinal canal or neural foraminal stenosis at any level.3. Diffuse low T1 marrow signal which is nonspecific and can be seen in entities such as chronic anemia, for example.