 There is transitional lumbosacral anatomy with 6 lumbar vertebral bodies. For the purposes of this exam the last fully formed disc is L6-S1.The conus medullaris ends at the level of lower L2. The cord is of normal caliber and signal. Normal alignment of the vertebral bodies. There is no abnormal enhancement.There is a tiny dorsally projecting synovial cyst in the right L4-L5 facet. There are mild facet degenerative changes in the lower lumbar spine.In the visualized right lower lobe, there is a 4 mm nodule along the posterior pleural surface. Recommend follow-up.
1. Transitional lumbosacral anatomy with 6 lumbar vertebral bodies. For the purpose of this exam the last fully formed disc is at least L6-S1. If surgery is to be contemplated, please correlate with imaging of the entire spine.2. No evidence of intrathecal metastases.3. Nonspecific subcentimeter nodule is seen in the right lower lobe along the posterior pleural surface. Recommend follow-up CT chest for a complete evaluation.