37 years Female (DOB:12/14/1978)Reason: Evaluate for lumbar epidural steroid injection, eval for herniated disc/ osseus mets History: lumbar painPROVIDER/ATTENDING NAME: MAGDALENA ANITESCU BENJAMIN DOMB Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. There is some loss of vertebral body height present at L1 and L2 associated with some T2 signal hyperintensity within the L1 and L2 vertebral bodies.. The conus medullaris on sagittal imaging is grossly intact. There is diffuse marrow replacement presentAt L5-S1 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with endplate reactive changes which are bright on T2 and dark on T1. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is diffuse marrow replacement present which could be related to patient's known lymphoma.2.There are compression fractures present at L1 and L2 which appear to be subacute.3.There are degenerative changes present in the lumbar spine worse at L5-S1 where there is some narrowing of the neural foramina. There is no significant compromise to the spinal canal or exiting nerve roots as a result of degenerative changes.4.The examination is incomplete due to patient's inability to complete the exam as a result of anxiety. This may result in a lower detection rate of underlying abnormalities within the lumbar spine.