Increased leg and back pain. There is a catheter that enters the spinal canal at the L1-2 level. There are small disc bulges at L3-4 and L4-5, including an annular fissure at L4-5, which in combination with mild facet hypertrophy result in mild neural foraminal stenoses at these levels, but no significant spinal canal stenosis. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a T2 hyperintense right renal lesion that measures up to approximately 3 cm.
1. Small disc bulges at L3-4 and L4-5, which in combination with mild facet hypertrophy result in mild neural foraminal stenoses at these levels, but no significant spinal canal stenosis.2. A right renal T2 hyperintense lesion that measures up to approximately 3 cm likely represents a cyst, but is incompletely characterized. A renal ultrasound may be useful for further characterization.3. A catheter enters the spinal canal at the L1-2 level. 