 THORACIC SPINE: There is no significant disc herniation, spinal canal stenosis or neural foraminal stenosis thoracic spine. There is a tiny central disc protrusion at C4-5 without significant spinal canal stenosis. The thoracic spinal cord signal is within normal limits. There is normal alignment and vertebral body height. There are scattered hemangiomas or focal fat in the thoracic vertebral bodies.LUMBAR SPINE: There are mild disc bulges at L2-3, L3-4 and L4-5 with mild to moderate degrees of bilateral facet arthropathy causing mild right neural foraminal stenoses at these levels. Additionally, there is moderate left L4-5 in mild left L3-4 neural foraminal stenosis. There is mild L3-4 and moderate L4-5 spinal canal stenosis as a result of the degenerative findings. There is a Schmorl's node in the superior endplate of L2 vertebral body. The conus terminates at L1-2. There is a distended gallbladder with a large gallstone which is incompletely imaged. There is an incompletely imaged right pelvic transplant kidney. The native kidneys are atrophic with multiple cystic lesions. In addition, there is exophytic heterogeneous cystic mass with probable foci of hemorrhage measuring up to 39 x 37 mm in the right kidney. There is also a low T1 and high T2 signal intensity lesion arising from the right adrenal gland that measures up to 20 mm.
1.Mild to moderate lumbar spondylosis associated with mild L3-4 and moderate L4-5 spinal canal stenosis with mild to moderate of neural foraminal stenoses.2.A right renal exophytic heterogeneous cystic mass is incompletely evaluated due to lack of IV contrast. Differential considerations include hemorrhagic cyst verus cystic neoplasm. Dedicated renal imaging may be useful for further evaluation of this lesion.3.Cholelithiasis in a distended gallbladder is incompletely imaged. A dedicated ultrasound exam may be useful for further evaluation.4.A lesion arising from the right adrenal gland that measures up to 20 mm is incompletely characterized. Dedicated imaging may be useful for further evaluation.Findings were discussed with Dr. W. James Chon over the telephone at 12:17 PM today.