Metastatic lung ca, with a possible L2 lesion. There is a 12 mm wide superior endplate intravertebral disc herniation at L2 with associated mild bone marrow enhancement. There is also vacuum phenomenon in the posteroinferior L2 vertebral body. Otherwise, there is no evidence of metastatic disease in the lumbar spine. There is multilevel degenerative spondylosis with up to mild spinal canal and neural foraminal stenosis at L2 through S1. The vertebral body heights are preserved and the lumbar spine alignment is anatomic. The imaged portions of the spinal cord are unremarkable. There is a partially-imaged left adrenal mass.
1. Superior endplate intravertebral disc herniation at L2 with associated mild reactive bone marrow changes in the setting of multilevel degenerative spondylosis, but no evidence of metastases involving the lumbar spine.2. Partially-imaged left adrenal mass. Please refer to the recent body CT report for additional details.