 There are findings related to L3 compression deformity and vertebroplasty with unchanged 40% height loss. There is decreased but persistent enhancement and resolved edema at this level. Overall, the spine bone marrow is patchy diffusely but unchanged. There are unchanged enhancing lesions at L2, L4, and L5 as well as two lesions at T11 and T12 that were not definitely present previously, however the prior exam was significantly motion degraded.The vertebral column alignment is within normal limits. The imaged spinal cord displays normal signal and morphology. There are multiple bilateral renal cysts.T12-L1: There is a mild disc bulge as well as mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L1-L2: There is a mild disc bulge as well as mild facet arthropathy and ligament flavum thickening without significant spinal canal or neural foramen stenosis.L2-L3: There is a mild disc bulge as well as mild bilateral facet arthropathy and ligamentum flavum thickening. These findings result in mild spinal canal stenosis but no significant neural foramen stenosis.L3-L4: There is a mild disc bulge as well as mild bilateral facet arthropathy and ligamentum flavum thickening. There is no significant spinal canal or neural foramen stenosis.L4-L5: There is a mild disc bulge asymmetric to the right as well as mild bilateral facet arthropathy and ligamentum flavum thickening. There is mild bilateral neural foramen narrowing and no significant spinal canal stenosis.L5-S1: There is no significant spinal canal, or neural foraminal narrowing.
1.Post-treatment findings related to L3 compression deformity and vertebroplasty with unchanged 40% height loss. No new compression fractures. 2.Unchanged diffusely patchy bone marrow may represent a combination of tumor and treatment effect.3.Unchanged enhancing lesions at L2, L4, and L5 as well as two lesions at T11 and T12 that were not definitely present previously, however the prior exam was significantly motion degraded.4.Unchanged mild lumbar spine degenerative changes with at most mild spinal canal stenosis at L2-L3 and mild bilateral neural foramen narrowing at L4-L5.