Reason: sle/MYASTHENIA PT with severe LBP r>L side radiates to either leg, at various times. Left leg most painfu. History: severe LBP r>L side radiates to either leg, at various times. Left leg most painful. Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. A 12-mm lesion located within the L2 vertebral body present and redemonstrated which is larger relative to the prior exam. It is high signal on T1 and suppresses on the fat suppressed STIR T2 images. Most likely this represents a vertebral body hemangioma.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is disk desiccation and a small central disk protrusion at this level. This is stable when compared to the prior exam. This disk protrusion is adjacent to the nerve root the right lateral recess but does not appear to displace it on this exam.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the lumbar spine worse at L5-S1 where there is a small central disk protrusion which is stable in size when compared to the prior exam it is disk protrusion abuts the nerve root at the right lateral recess.2.A vertebral body lesion suspected to represent hemangioma in the L2 vertebral body has mildly enlarged when compared to the prior exam.3.No compromise to lumbar spinal canal or neural foramina.