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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need To Worry About Free Pelvic Fluid In MRI Report?

I just had a mri and the impression is that 1 L4-5: Mild left neural foraminal stenosis 2 Probable anatomic ventriculus terminalis and within the conus medullaris. Consider thoracic MRI to exclude a syrinx within the distal spinal cord. 3. Incidental note of a small to moderate amount of nonspecific free pelvic fluid. Because of the free pelvic should I be worried about it?
Fri, 25 Apr 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

There is mild compression of nerve root foramen between L4 and L5 vertebrae. The ventriculus terminalis, an anatomical variant, is a small, oval, cystic structure positioned at the transition from the tip of the conus medullaris to the origin of the filum terminale. The presence of this needs to exclude any other problems in the upper portion of spinal cord. That is why a thoracic MRI is recommended. The small amount of pelvic fluid might be significant only if you are having any pain in the pelvis.
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Need To Worry About Free Pelvic Fluid In MRI Report?

Hi, Thanks for writing in. There is mild compression of nerve root foramen between L4 and L5 vertebrae. The ventriculus terminalis, an anatomical variant, is a small, oval, cystic structure positioned at the transition from the tip of the conus medullaris to the origin of the filum terminale. The presence of this needs to exclude any other problems in the upper portion of spinal cord. That is why a thoracic MRI is recommended. The small amount of pelvic fluid might be significant only if you are having any pain in the pelvis.