67 year old female pre-vertebroplasty procedure scan There is normal lumbar spine lordosis. Examination again shows mild collapse of the L5 vertebral body with sclerotic change, more prominent on the left side. Axial images show soft tissue density intra-osseous mass on the left with posterior extension to the left hepatic lobe and transverse process, and extending into the neural foramen and adjacent paraspinal space (axial image 60/105, sagittal image 28). There is vacuum phenomenon at L5-S1 intervertebral disk space.There is no vertebral body destruction in the residual lumbar spine. No bony destruction is identified in other segments of posterior elements.Disk bulge is noticed at L2-3, L3-4 and L4-5 level. Please refer to the dedicated lumbar spine MRI examination for more details on degenerative change findings.
L5 vertebral column metastatic lesion as detailed above. 