Female, 51 years old, with multiple myeloma and new acute pain. New T1 hypointense and T2 hyperintense signal abnormality is seen within along the posterior right aspects of the T12-L1 endplates. There also appears to be a new right paracentral and foraminal disc protrusion at this level.No other areas of new marrow signal abnormality are seen. A moderate compression deformity of the T12 vertebral body is unchanged. Likewise, mild endplate cavity affecting the mid thoracic vertebral bodies, and t the L1-L5 vertebral bodies, is unchanged. Mild degenerative disc findings in the lumbar spine are unchanged. No significant spinal canal stenosis is seen. Mild left foraminal narrowing at L3-4 and L4-5 is unchanged. Facet arthropathy at lower lumbar levels is unchanged.The spinal cord itself demonstrates normal signal intensity and morphology. The conus cauda equina are within normal limits. No epidural abnormalities are suspected.
1.New signal abnormal is seen along the right posterior T12-L1 endplates. Given that this occurs in combination with possible new disc protrusion in the same location, the findings are favored to be degenerative in nature.2.No other definite new lesions are seen to suggest progressive myelomatous disease. No evidence of significant spinal canal stenosis is observed.3.Multiple compression deformities involving the T12-L5 vertebral bodies are unchanged. No new compressions are seen.