Clinical question: Evaluate for radicular problems. History of endometrial cancer. History of focal RT. Signs and symptoms: Right lower extremity pain? Radicular. Pre-and post-enhanced lumbar MRI:There is normal anatomical alignment the vertebral column.There is uniform marrow signal changes at all entire visualized thoracolumbosacral spine consistent with a prior radiation therapy changes.Multilevel small Schmorl's nodes of no clinical significance is noted.Lower most visualized thoracic spine and thoracic cord is unremarkable.T12 -- L1 is unremarkable.L1 -- L2 is unremarkable. L2 -- L3 demonstrate mild ligamentum flavum hypertrophy and unremarkable otherwise.L3 -- L4 demonstrate mild bilateral facet and ligamentum flavum hypertrophy and mild degenerative disk disease. Findings results in mild to moderate bilateral (left greater than right) neural foraminal compromise.L4 -- L5 demonstrate mild degenerative disk disease and moderate bilateral ligamentum flavum hypertrophy and mild facet disease. No central spinal stenosis. Mild to moderate bilateral neural foraminal compromise. L5 -- S1 demonstrate mild degenerative disk disease and a tiny far left lateral annular fissure (sagittal T2, T2 stir image 13). This finding demonstrate expected enhancement. No spinal stenosis or neural foraminal compromise.Enhanced images demonstrate no additional foci of enhancement of the vertebral column, cord, conus or cauda equina.
1.No evidence of malignancy and this exam.2.Mild degenerative disk disease and mild to moderate hypertrophic changes of posterior elements without evidence of central spinal stenosis at any level.3.Tiny far left lateral annular fissure at L5 -- S1 on the left as detailed. Mild to moderate bilateral neural foraminal compromise at L3 -- L4 and L4 -- L5 levels secondary to degenerative changes as detailed.