FINDINGS:
Vertebral body alignment is within normal limits. There is a
subcentimeter hemangioma in L4. Otherwise, marrow signal is within
normal limits. There is very minimal disk desiccation at multiple
levels. There is no disk space narrowing. There is no fracture or
loss in vertebral body height. The conus ends at T12-L1. Visualized
conus is normal. There is a fatty filum terminale, which measures 2
mm in diameter diffusely. Perivertebral soft tissues are within
normal limits.
T12-L1: Minimal facet disease.
L1-2: Minimal facet disease.
L2-3: Mild facet disease.
L3-4: There is at least moderate facet disease. There is minimal
annual bulge. Central canal is minimally narrowed. Lateral recesses
and foramina are normal.
L4-5: There is moderate facet disease. Minimal annular bulge is
present. Central canal, foramina and lateral recesses are normal.
L5-S1: There is mild facet disease. Central canal, foramina and
lateral recesses are within normal limits.
Dictated by: Robert Myers, MD on February 22, 2016 at 14:09
Transcribed by: Page on February 23, 2016 at 8:08
Approved by: Robert Myers, MD on February 24, 2016 at 9:38
Impression
CONCLUSION
1. Multilevel degenerative facet disease most prominent at L3-4.
Together with mild annual bulge, there is mild central canal stenosis
at this level.
2. Fatty filum terminale.
3. No malalignment, fracture or suspicious marrow signal
abnormality.