 The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The imaged spinal cord displays normal signal and morphology. There is no evidence of intraspinal mass or abnormal enhancement. There is a subcentimeter unchanged right renal cyst. There are a few scattered subcutaneous subcentimeter nodules likely corresponding to neurofibromas. There is a partially imaged unchanged mild disc bulge at T11-T12 without significant spinal canal or neural foramen stenosis. There is multilevel mild disc desiccation. T12-L1: There is a mild disc bulge as well as mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L1-L2: There is minimal facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L2-L3: There is minimal facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L3-L4: There is minimal facet arthropathy and a mild disc bulge. These findings result in unchanged mild left neural foramen narrowing and no significant spinal canal stenosis. There is a new small subcentimeter synovial cyst arising from the posterior aspect of the right facet joint outside the spinal canal.L4-L5: There is loss of disc height, and a mild disc bulge with a superimposed small posterior disc extrusion, and marked facet arthropathy with mild associated ligamentum flavum thickening. These findings result in unchanged moderate bilateral neural foramen narrowing and no significant spinal canal stenosis.L5-S1: There is a mild disc bulge as well as mild facet arthropathy. These findings result in unchanged moderate bilateral neural foramen stenosis without spinal canal stenosis.
1.No evidence of metastasis or intraspinal neurofibroma.2.Unchanged lumbar spine degenerative changes resulting in neural foramen stenosis at L3-L4, L4-L5, and L5-S1.3.Multiple small cutaneous neurofibromas.