Right leg pain (buttocks to behind the right knee), numbness and tingling. For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is about 13 mm sized well-circumscribed vertebral body lesion, showing high signal intensity on both T1 and T2 weighted images indicating possible vertebral body hemangioma, this lesion wasn't seen on prior scan and demonstrate no interval change in terms of shape, size and MR characteristics.There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: Disc desiccation, no neuroforaminal narrowing or spinal stenosis. L1-L2: Disc desiccation, no neuroforaminal narrowing or spinal stenosis. L2-L3: Diffuse bulging of disc with disc desiccation. Minimal spinal canal stenosis.L3-L4: Diffuse bulging of disc with disc desiccation. There is associated central to slightly left focal protrusion of disc which indents anterior thecal sac. There is no interval change since prior scan about this finding.L4-L5: Diffuse bulging of disc with bilateral ligamentum flavum thickening at this level creating mild to moderate spinal canal stenosis. There is associated central focal protrusion of disc which indents the thecal sac. Again no change since prior scan.L5-S1: Diffuse bulging of disc with disc desiccation. There is a focal central to right disc protrusion. Again no significant interval change since prior scan.
1. Multifocal disc degeneration with the herniation as described above (L3-4: Central to left, L4-5: Central, L5-S1: Central to right). No change since prior scan.2, multifocal various degree spinal canal stenosis from L2-3 to L4-5, no significant interval change since prior scan.3. Vertebral body hemangioma, T12. 