Hodgkin's lymphoma with left buttock pain, post bone marrow biopsy in February. Now with numbness of left leg. Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. There is some loss of normal lumbar lordosis. Alignment is otherwise within normal limits. The conus medullaris is normal in position. There are multiple small T1 hypointense, T2 hyperintense, and enhancing lesions throughout the lumbar spine and partially visualized lower thoracic spine.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: There is left paracentral disk protrusion with effacement of the left lateral recess which may be impinging on the traversing left L5 nerve root. No central spinal canal or neural foraminal stenosis. Mild facet hypertrophy.L5-S1: There is disk desiccation and small central disk protrusion. No significant spinal canal or neural foramina stenosis. Mild facet hypertrophy.Atrophic native kidneys and right renal transplant partially visualized. Paraspinous soft tissues are unremarkable.
1. Multiple small osseous lesions throughout the lumbar and visualized lower thoracic spine compatible with known lymphoma. No prior MRI lumbar spine is available for comparison. No pathologic fractures or evidence of epidural tumor. 2. Degenerative changes at the L4-L5 and L5-S1 levels as detailed above. There is left paracentral disk protrusion at L4-L5 which may be impinging on the traversing left L5 nerve root in the lateral recess.