60-year-old woman with history of left lower back pain and radiculopathy. Five lumbar type vertebral bodies are presumed to be present and there is a transitional lumbosacral vertebral body. Vertebral body heights are within normal limits. Alignment is within normal limits. There is a T1 and T2 hyperintense, round lesion in the posterior T11 vertebral body, favor to represent a hemangioma. Otherwise, the bone marrow signal is benign. The conus medullaris is normal in position. There is congenital narrowing of the spinal canal below the L2 level.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: There is mild facet arthropathy and ligamentum flavum thickening without significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: There is moderate facet arthropathy and ligamentum flavum thickening with mild narrowing of the lateral recesses. No spinal canal or neural foraminal stenosis.L4-L5: There is facet arthropathy and ligamentum flavum thickening bilaterally, moderate on the left and mild on the right. There is mild narrowing of the left lateral recess, but no spinal canal or neural foraminal stenosis.L5-S1: There is facet arthropathy and ligamentum flavum thickening with moderate narrowing of the right lateral recess. Additionally, there is minimal narrowing of the right neural foramen. No spinal canal stenosis.A loculated cystic lesion in the pelvis is partially visualized and measures at least 5 cm. Otherwise, the paraspinal soft tissues are within normal limits.
1.Degenerative change, mostly involving the facet joints with narrowing of the lateral recesses. Minimal narrowing of the right L5/S1 neural foramen, otherwise no significant foraminal or spinal canal stenosis.2.Partially imaged large, septated pelvic cyst, consider gynecologic ultrasound for further evaluation.