Pain In Right Leg [M79.604] / Pain In Left Leg [M79.605] / Malignant neoplasm of unspecified part of left adrenal gland [C74.92], Reason for Study: ^Reason: history of stage 4 neuroblastoma s/p chemo, radiation, transplant For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. 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 epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.There is, however, multiple cystic lesions likely within the left kidney lower pole measured about 21mm x 18.6mm. Since there is an abdominal MRI performed today, detailed MR characteristics and diagnostic differential diagnosis of this lesion should reference the formal report of the abdominal MRI examination.
1. Normal lumbar spine MRI2. About 18.6mm x 21mm sized left kidney inferior pole lesion as described above.