Diagnosis: Malignant neoplasm of thyroid glandClinical question: r/o metsSigns and Symptoms: h/o thyroid cancer. PET scan suggested a likely benign lesion near L1, but could not rule out small metComments: 1. Has tooth implant. 2. Wears earrings. 3. Has had neck surgery (thyroidectomy and neck dissection) | 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. Some foci of T1 signal hyperintensity are present at L1, L4 and L5 and could represent either focal fatty replacement or small hemangiomas.At L5-S1 there is no significant compromise to spinal canal or neural foramina.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.
No compromise to lumbar spinal canal or neural foramina. There is no evidence for metastases to the lumbar spine.