Back pain with history of myeloma . Rule out compression versus lesion. Severe degenerative disc disease affects L4-L5 and L5-S1 with moderate degenerative disc disease at L3-L4, appearing similar to the prior study. Vertebral body heights are preserved. Severe facet joint osteoarthritis affects the lower lumbar spine. Small lucency in the anterior superior corner of L3 likely represents part of a myelomatous deposit better seen on prior MRI studies, but we see no frank compression fracture. Hypertrophy of spinous processes with associated degenerative changes are seen. The lytic lesion in the left ilium is partially visualized in this study as is a right total hip arthroplasty.
Degenerative disc disease and facet joint osteoarthritis of the lumbar spine with other findings as described above. Myelomatous lesions are better seen on prior studies, but we see no evidence of progression.