Lung cancer, eval Increased uptake of the lumbar spine L2 end plate, which may be due to osteomyelitis or tumor per PET scan H For the purposes of numbering and to be consistent with prior PET report, the most inferior well-defined disc space is labeled L5-S1. Small hypoplastic ribs are evident however at L1, as numbered.There is mild compression fracture involving the right superior endplate of L2 with edema and enhancement involving the L2 vertebral body. No adjacent soft tissue mass or discrete metastatic lesion is appreciated. Bone marrow signal elsewhere in the lumbar spine is benign including marrow signal changes involving the anterior aspect of the L5 and S1 vertebrae which are on a degenerative basis. No epidural tumor, leptomeningeal disease, or paraspinous mass in the lumbar spine.Aside from L2, remainder of the vertebral body heights are preserved. Alignment is grossly maintained aside from minimal L5-S1 retrolisthesis. Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease aside from minimal bulge. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.L4-L5: Mild disc bulge, ligamentum flavum thickening, and bilateral facet arthropathy. No significant spinal canal stenosis. Mild right neural foraminal narrowing. Left neural foramen is patent.L5-S1: Disc height loss, disc bulge with small central protrusion, and facet arthropathy. There is moderate bilateral neural foraminal stenosis. There is partial effacement of the left lateral recess. There is no significant central canal stenosis.
1. Mild compression fracture involving the right superior L2 endplate with vertebral body edema and enhancement which is likely reflective of recent injury. There is no evidence of underlying tumor but would suggest follow-up to exclude this possibility. No evidence of discitis-osteomyelitis.2. Degenerative changes in the lumbar spine, relatively worse at the L5-S1 level where there is up to moderate bilateral neural foraminal stenosis. No significant spinal canal stenosis at any level.3. Please note comment about numbering scheme above.