Mid and low back pain now with saddle anesthesia. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. There are scattered focal fatty deposits in the vertebral bone marrow. There is also a subcentimeter area of high T2 signal in the T3 vertebral body. There are mild posterior disc-osteophyte complexes at C7-T1 and T8-9. In addition, there are minimal disc bulges at L3-4 and L4-5 without significant neural foraminal stenosis. There is also a disc bulge at L5-S1 and facet hypertrophy with mild left and moderate right neural foraminal stenosis. However, there is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. No evidence of spinal cord or cauda equina compression.2. A disc bulge at L5-S1 and facet hypertrophy is associated with mild left and moderate right neural foraminal stenosis.3. A subcentimeter area of high T2 signal in the T3 vertebral body is nonspecific, but may represent an atypical hemangioma, for example. Nevertheless, follow up via MRI with contrast may be useful.