Malignant neoplasm of stomach, unspecified [C16.9], Reason for Study: ^Reason: severe back pain, gastric CA. Bony mets? pt ESRD History: severe low back pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. Multifocal various sized bone marrow replacing vertebral body lesions involving T11, T12, L1, L2, L3, L5, S1 and bilateral iliac bones indicating metastatic lesions. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The signal of the visualized cord is normal. The conus medullaris terminates at the L1-L2 level. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: Diffuse bulging of disc with bilateral ligamentum flavum thickening result mild to moderate spinal stenosis. L3-L4: Diffuse bulging of disc with bilateral ligamentum flavum thickening result moderate to severe spinal stenosis. L4-L5: Slightly eccentric central to left disc broad based disc protrusion with bilateral ligamentum flavum thickening result severe spinal stenosis and left side neuroforaminal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Multifocal metastatic lesions involving thoracolumbosacral vertebral bodies and bilateral ilium.2. Degenerative changes of lumbar spine as described above.