The MRI report for Jeffrey Epstein indicates very severe spinal canal stenosis at the L4-L5 level, with worsening since the previous study in 2011. There are prominent vascular flow voids suggesting possible spinal dural arteriovenous fistula. Additional degenerative changes are noted at multiple levels. Recommendations include possible further evaluation with thoracic spine MRI and MRA, and urgent clinical referral if symptoms progress.
documents/EFTA00317346.pdf
{}