Amyloidosis, unspecified [E85.9], Reason for Study: ^Reason: amyloidosis with worsening lumbar back pain, evaluate for lytic ds vs DDD History: amyloidosis with worsening lumbar back pain, evaluate for lytic ds vs DDD For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. There is no evidence of abnormal enhancement, cord compression or mass. 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: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: broad based focal bulging of disc with the base of diffuse bulging of disc which abuts thecal sac, no neuroforaminal narrowing. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. No evidence of vertebral body abnormality such as osteolytic lesion.2. Diffuse bulging of disc with central focal bulging of disc at the level of L45 as described above.