70 years Male (DOB:3/7/1946)Reason: Ill-defined lytic lesion in the transverse process of L3 via CT scan suspicious for indolent metastases, hx of ex-pleomorphic adenocarcinoma completed CRT 9/16/16 History: Ill-defined lytic lesion in the transverse process of L3 via CT scan suspicious for indolent metastases, hx of ex-pleomorphic adenocarcinoma completed CRT 9/16/16PROVIDER/ATTENDING NAME: ALISON M MONGE SERVICES ANCILLARY Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment . The conus medullaris on sagittal imaging is grossly intact. There is 25% loss of vertebral body height at L1 and 40% loss of vertebral body height at T12. There is no associated T2 signal hyperintensity with these anterior compression fractures. In addition the sacrum appears unusually angulated and has a somewhat heterogeneous signal within it with a lacelike pattern of enhancement.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and diffuse disc bulge at this level. There is bilateral facet hypertrophy present at this level. There is some mild displacement of the nerve root at the right lateral recess at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet hypertrophy 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.No abnormal mass lesions are appreciated in the lumbar spine.There is a cyst present along the left kidney which measures 16 x 23 mm in axial dimensions. It is cortically based.
1.There are compression fractures present at T12 and L1 which appear to be chronic.2.Findings suggest longstanding fracture injury to the sacrum.3.There is no convincing evidence for bone metastases to the lumbar spine including the transverse processes.