39 years Male (DOB:7/13/1976)Reason: patient with soft tissue mass in left lumbar paraspinal region. Concern for lipoma. He also has h/o psoriasis and would want SI joints to be looked at as well to r/o sacroiliitis. Does not need dedicated SI joints MRI. History: patient with soft tissue mass in left lumbar paraspinal region. Concern for lipoma. He also has h/o psoriasis and would want SI joints to be looked at as well.Referring Attending: REEM H JAN Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. No abnormal enhancing lesions are appreciated in the lumbar spine. There are Tarlov cysts present in the sacral spinal canal. The sacroiliac joints are not entirely included on this exam.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and disc bulge present at this level there is right-sided endplate reactive change present which is high signal on T1 suggesting chronic endplate reactive change.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is some loss of disc space height, disc desiccation and a disc bulge at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a Schmorl's node present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the lower lumbar spine without significant compromise to spinal canal or exiting nerve roots.2.No lipoma is identified