Numbness in the legs. History of lumbar fusion. Also history of previous radiation treatment and chemotherapy. Radiculopathy versus neuropathy. The thoracolumbar levoscoliosis centered at L2 level has not appreciably changed since the previous examination: the Cobb angle as measured from the superior endplate of T12 to the inferior endplate of L2 is 42 degrees. The left lateral subluxation of L5 relative to L4 (about 10 mm) is also unchanged. There are several sacral perineural cysts. There is no definite significant spinal canal stenosis. Otherwise, postoperative findings including posterior rods and cerclage wires is associated significant artifact limit assessment of the regional anatomy.
1.Levoscoliosis of lumber spine centered at the L2 is unchanged.2.No definite evidence of significant central spinal stenosis, although metallic artifact from posterior hardware along the dorsal aspect of vertebral column extending from T11 to S1 limits definitive assessment of the spinal levels.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.