Female, 62 years old, with low back pain and history of breast cancer. Evaluate for lesions. Spinal alignment is anatomic. Vertebral body height is preserved. Extensive disc degeneration is seen at L5-S1 with endplate irregularity, edema and enhancement. No associated fluid collection or paraspinal inflammation is seen. Elsewhere, no pathologic marrow replacement or enhancement is seen.The visualized distal spinal cord and conus are within normal limits. No pathologic intrathecal enhancement is seen. No epidural abnormalities are suspected.T12-L1: Disc bulging and a tiny right paracentral protrusion. No spinal canal or foraminal stenosis.L1-2: Small right foraminal disc protrusion. No significant spinal canal stenosis. Minimal right foraminal narrowing. L2-3: Facet arthropathy and ligamentum flavum thickening. Minimal disc bulging. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L3-4: Facet arthropathy and ligamentum flavum thickening. Minimal disc bulging. No significant spinal canal stenosis. Mild right foraminal narrowing. L4-5: Facet arthropathy and ligamentum flavum thickening. Bulging disc. No significant spinal canal stenosis. Mild right foraminal narrowing. L5-S1: Facet arthropathy. Bulging disc. Effacement of the ventral thecal sac but no significant generalized spinal canal stenosis. Moderate right and mild left foraminal narrowing. A prominent perineural root sleeve cyst is seen along the left S2 foramen.
1.Severe disc degeneration at L5-S1 with evidence of edema and inflammation. Lack of associated fluid collections and paraspinal edema suggest that this is most likely purely degenerative in nature. Correlation with clinical and laboratory findings is suggested to further exclude the possibility of infection.2.Less significant degenerative findings are seen at additional levels with no areas of high-grade spinal canal stenosis.3.No evidence to suggest osseous metastatic disease.