Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. Lumbar Central Canal Stenosis Grading - Normal - No CSF effacement - Mild - Some effacement of CSF; cauda equina nerve roots clearly separable - Moderate - Aggregation of cauda equina nerve roots with near total effacement of CSF - Severe - Total effacement of CSF and sac deformity Lumbar Neural Foraminal Stenosis Grading - Normal - No fat effacement, Keyhole appearance - Mild - Some effacement of fat in vertical or transverse direction - Moderate - Near total effacement of fat - Severe - Total effacement of fat and/or nerve deformity Dr. Mark Mamlouk @ https://twitter.com/MarkMamloukMD #Lumbar #Spinal #Stenosis #Spine #Report #Grading #Classification #Central #Foraminal #Diagnosis #Radiology #MSK #MRI