45-year-old female with bilateral leg paresthesias and weakness Alignment is anatomic. Vertebral body heights are intact. There is a well defined T1/T2 hypointense likely sclerotic lesion in the posterior T11 vertebral body which is unchanged from prior exam. Otherwise no abnormal marrow signal. Signal within the cord and cauda equina is grossly normal. There is no evidence of cord compression. Multi-level disk desiccation with mild disk space loss at T10-T11 and T11-T12. There is a posterior disk osteophyte complex at C4-C5 which is slightly less prominent with minimal effacement of ventral thecal sac. A diffuse disk bulge at C6-C7 is also unchanged. There is ligamentum flavum thickening at C5-C6 and C6-C7 which is unchanged.Mild diffuse disk bulge at T1-T2 slightly worse than the prior exam. Facet arthropathy and ligamentum flavum thickening at T10-T11 is unchanged.Diffuse disk bulge at T11-T12 appears slightly worse than the prior exam.There is a large lobulated soft tissue structure in the pelvis which was present on prior exams but appears slightly enlarged, however this is incompletely visualized. This extends cranially up to the L3 level, previously to the L4 level. There is partially exophytic rounded component anteriorly along the mass measuring at least 7.8 cm. There is additional less well-defined soft tissue extending into the lower pelvis. Multiple thyroid nodules and cysts are present.
1.No evidence of cord compression.2.Multilevel spondylolyses which is slightly worse T1-T2 and T11-T12 and less prominent at C4-C53.Large pelvic soft tissue structure may represent uterine fibroids, but appears larger than the prior exam and is incompletely visualized. Pelvic ultrasound may be considered for further evaluation.