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Incidental fatty filum terminale refers to an incidental finding of excess fat in the filum terminale, a thin strand of connective tissue at the end of the spinal cord. It is often found during imaging studies like MRI and typically does not cause any symptoms or require treatment.

filum terminale

Filum terminale or terminal thread is a fragile fibrous tissue strand which is the longitudinal support of the spinal cord. Its upper part is called filum terminale internum and the lower part called filum terminale externum.