Pain in joint, pelvic region and thigh [719.45] / Pain in joint, lower leg [719.46] / Lumbago [724.2], Reason for Study: ^Reason: Compare to mri done on 9/14/14 History: Pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is a 30.1 mm x 30.3 mm x 22.4 mm sized L4 vertebral body hemangioma, no change since prior scan. The peripheral displacement of neural roots at the level of L5S1, no change since prior scan.There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance except L4 vertebral body. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable. Neural foramen and spinal canal appear to be within normal range.There is no evidence of abnormal enhancement, cord compression or mass.
1. No change of L4 vertebral body hemangioma in terms of size and MR characteristics since prior scan. 2. No change of peripherally displaced neural roots at the level of L5S1 since prior scan.3. Otherwise unremarkable. Comment: Since a large hemangioma can be a cause of back pain, although there is no change in terms of size and MR characteristics since prior scan, if clinically indicated, clinic consultation to neurointerventional radiology (page: 9287) can be considered.