52 years Male (DOB:9/27/1963)Reason: to assess for polyradiculopathy, hypertrophic neuro[pathy History: H/O stem cell transplant, presents with progressive LE weakness and neuropathyPROVIDER/ATTENDING NAME: KOUROSH REZANIA KOUROSH REZANIA Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. The nerve roots within the cauda equina appear to vaguely enhance and to be mildly thickened. There is some borderline finding.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and Schmorl's node at this level associated with endplate reactive changes and some contrast enhancement along the Schmorl's node. There is mild facet hypertrophy at this level. Signal change along the inferior endplate of L5 is high signal on T1 and low signal on T2 STIR.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild disc desiccation and a minor disc bulge at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a cystic lesion which is not entirely included located at the inferior pole of the left kidney measures approximately 22 mm in diameter. Most likely represents a simple cyst.
1.Findings raise the question of some thickening and enhancement along the cauda equina which can be explained by inflammation but is nonspecific. Please note that this is a borderline finding and can be considered upper limits of normal in enhancement.2.No compromise to lumbar spinal canal or neural foramina.