46 years Male (DOB:7/20/1969)Reason: lumbar radiculopathy vsl infiltration History: severe length-dependent axonal neuropathyReferring Attending: ANTHONY T REDER 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 is a T2 hyperintense 9 mm round focus within the L2 vertebral body which is slightly hyperintense on T1 and demonstrates some contrast uptake on the postcontrast imaging. There is a 11 mm T1 hyperintense lesion within the L3 vertebral bodyAt L5-S1 there is no significant compromise to spinal canal or neural foramina. There are some endplate reactive changes present this level. There is a broad-based right lateral disc protrusion present which extends into the right neural foramen and mildly encroaches on the right-sided exiting nerve roots. There are some chronic type endplate reactive changes associated with this.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.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.No compromise to lumbar spinal canal . There is a right far lateral disc protrusion at L5-S1 which mildly encroaches on the right-sided exiting nerve roots within the right L5-S1 neural foramen.2.There is an enhancing lesion within the L2 vertebral body. It is suspected most likely represents an atypical hemangioma. Follow-up exam or CT of the lumbar spine may help confirm this.