37 years Male (DOB:5/24/1979)Reason: liposarcoma vs lipoma History: lipomaPROVIDER/ATTENDING NAME: ANNEMARIE O'CONNOR ANNEMARIE O'CONNOR Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. There is mild anterior superior endplate compression at L4. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina.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. There is loss of disc space height, disc desiccation and mild anterior superior endplate compression of L4.. There is adjacent T2 and T1 signal hyperintensity and some mild contrast enhancement associated with this.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.There is a 14 x 22 x 51 mm lipoma present within subcutaneous tissues behind the left paraspinous tissues at the L3 vertebral level.
1.There is a mild anterior superior endplate compression fracture at L4 which appears to be in the subacute phase.2.No compromise to lumbar spinal canal or neural foramina.3.There is a subcutaneous lipoma present adjacent to the left paraspinous tissues at the L3 vertebral body level does not have any significant solid component associated with it.