67 year-old female with abnormal lesion on prior MRI, follow-up Vertebral body heights are intact. Multilevel disk desiccation with disk space loss at L2-L3 and L3-L4, unchanged. Well-circumscribed 12-mm lesion in the left posterior lateral aspect of the L5 vertebral body is stable in size and hyperintense on T2, isointense on T1 and now has decreased STIR signal than the prior exam. Additional multilevel foci heterogeneous T1 signal, most prominent at L2 and L5, may represent small hemangiomas or focal fat. No destructive lesions are evident. Signal within the distal cord and conus is normal, terminating at L1. Minimal grade 1 anterolisthesis of L3 relative to L4.T12-L1: No spinal or neuroforaminal stenosis.L1-L2: No spinal or neuroforaminal stenosis.L2-L3: Mild diffuse disk bulge, unchanged. No spinal canal or neural foraminal stenosis.L3-L4: Mild diffuse disk bulge, unchanged. No spinal canal or neuroforaminal of stenosis.L4-L5: Mild diffuse disk bulge. No spinal or neural foramina canal stenosis. L5-S1: No spinal or neuroforamina stenosis.
1.Well-circumscribed lesion in the L5 vertebral body remains unchanged in size. Lesion may represent an atypical hemangioma but remains nonspecific. May consider additional longer term follow-up if clinically indicated. 2.Mild spondylosis as above.