56 years Male (DOB:1/18/1960)Reason: hx of multiple myeloma/compression fx at T7 seen on thoracic MRI, pt has pain at thoracic and lumbar spine History: lumbar and thoracic painPROVIDER/ATTENDING NAME: SEON-KYU LEE SEON-KYU LEE 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. The lumbar vertebrae has a mottled appearance on T1 and T2 imaging.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild disc desiccation at this level and some T2 signal hyperintensity in the peripheral aspect of the disc annulus at the right lateral recess.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 or neural foramina.2.There is no evidence for compression fracture in the lumbar spine.3.Normal appearance to the marrow signal is a nonspecific finding but likely related to patient's multiple myeloma.