Nontraumatic back pain with elevated WBC and diabetic patient. Evaluate for discitis-osteomyelitis or epidural abscess. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position. No abnormal enhancement to suggest discitis-osteomyelitis, epidural abscess, or paraspinous infection.There is mild generalized lumbar facet arthropathy. Additional minimal degenerative changes as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: Disc desiccation with small dorsal annular fissure. Minimal disc protrusion. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits. There is a cyst seen on the sagittal sequences which appears to be along the right anterolateral aspect of the uterus which is incompletely imaged but measures 5.4 x 3.5 cm.
1. No evidence of discitis-osteomyelitis or epidural abscess.2. Minimal degenerative changes without significant spinal canal or neural foraminal stenosis at any level.3. Partially imaged cystic lesion measuring approximately 5.4 x 3.5 cm adjacent to the uterus. Ultrasound can be considered for further assessment as clinically indicated.