 There is hematoma involving the right psoas muscle measuring 5.5 x 4.2-cm in AP and transverse dimensions and extending from mid L3 level to the pelvis outside the field of view.Interval progression of multilevel degenerative spondylosis with worsening loss of disk height and linear T1 and T2 hypointensity, presumably vacuum phenomenon. Minimal anterolisthesis of L4 over L5 vertebral body. Advanced multilevel facet arthropathy, worse at lower lumbar spine. No evidence of fracture. There are Modic type II changes at multiple vertebral body endplates. Otherwise marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. Bilateral renal cysts are noted. Lipoma involving the right posterior paraspinous musculature again seen.Multilevel degenerative changes, individual levels as below:L1/2: Posterior disk bulge. Mild facet hypertrophy. Epidural lipomatosis with mild bilateral foraminal narrowing. Mild spinal canal stenosis.L2/3: Posterior disk bulge. Mild to moderate loss of disk height. Facet arthropathy with ligamentum flavum hypertrophy. Epidural lipomatosis with near complete obliteration of the right neuroforamina and minimal left neural foraminal narrowing. Mild to moderate central canal stenosis.L3/4: Rightward eccentric posterior disk bulge. Mild to moderate loss of disk height. Advanced facet arthropathy with ligamentum flavum hypertrophy. Severe right and mild left neural foraminal narrowing. There is also mild central canal stenosis.L4/5: Rightward eccentric posterior disk bulge. Mild loss of disk height. Advanced facet arthropathy with ligamentum flavum hypertrophy. Moderate right and severe left neural foraminal narrowing. There is also mild to moderate central canal stenosis.L5/S1: Leftward eccentric posterior disk bulge with moderate to severe loss of disk height. There are also large anterior osteophytes at L5 and S1 vertebral bodies. Moderate left neural foraminal narrowing. No significant right neuroforaminal or spinal canal stenosis.
1.Hematoma involving the right psoas muscle extending from mid L3 level inferiorly into the pelvis outside the field of view.2.Interval progression of multilevel degenerative changes in the lumbar spine as detailed above. There is severe right L2-3, right L3-4, and left L4-5 foraminal narrowing with additional levels as above. There is mild to moderate spinal canal stenosis at L2-3 and L4-5.Findings discussed with Dr. Dionne Blackman on 4/3/2015, 4:30PM