Status post L1 -- L3 spinal fusion and tumor resection. There is mild thickening at the posterior aspect of the trachea at the T3 level. At T10 - T11 right neural foramen, there is prominent soft tissue density of uncertain etiology. This may represent prominent nerve root sleeve or perineural cyst and can be better assessed with MRI study.Postsurgical changes of tumor resection at L2 vertebral level, and spinal fusion from L1 to L3 are again noted. Hardware is intact without evidence of acute fracture. Fusion cage at L2 level is again seen positioned posteriorly laterally, and is causing effacement of the left neural foramina at L2 -- L3, with possible nerve impingement. Multi-level degenerative disease of the lumbar spine is again noted with spinal canal and neuroforaminal narrowing as described previously. No significant interval change is noted.
1. Postsurgical changes and degenerative disease of the lumbar spine as described above. No evidence of interval change.2. Mild thickening at the posterior aspect of the trachea at the T3 level of uncertain significance. This can represent secretion. Please correlate or follow-up as clinically indicated.3. At T10 - T11 right neural foramen, there is prominent soft tissue density of uncertain etiology. This may represent prominent nerve root sleeve or perineural cyst and can be better assessed with MRI study.