Male, 56 years old, with diffuse large B-cell lymphoma. Thoracic:Exaggerated thoracic kyphosis is unchanged. Sagittal alignment is otherwise anatomic. Vertebral body heights are preserved. Scattered small Schmorl's node defects are unchanged. No evidence of pathologic marrow replacement, edema or enhancement is seen. The visualized spinal cord shows normal signal intensity and morphology and is free of pathologic enhancement. No epidural abnormalities are suspected. No significant spinal canal or foraminal stenosis is seen. The right kidney is not visualized and the left is large, similar to prior.Lumbar:Mild edema and enhancement along the L3 endplates is redemonstrated similar to prior. Minimal endplate degenerative signal abnormal is also seen at L4-5, slightly progressed from prior. No areas of pathologic marrow replacement are seen. Alignment is anatomic. Vertebral body height and morphology are within normal limits. Faint enhancement of the nerve roots of the cauda equina is suspected. This is new when compared to the prior examination, though such differences could at least in part be technical. No epidural abnormalities are seen. Mild disc degeneration and posterior element hypertrophy is redemonstrated without high-grade spinal canal or foraminal stenosis.
1.Faint enhancement of the nerve roots of the cauda equina is suspected, new when compared to the prior examination, though the differences may in part be technical. Nevertheless, given the known intracranial findings, this could represent a manifestation of the patient's lymphoma.2.No additional specific evidence of lymphomatous involvement is seen elsewhere in the lumbar spine or in the thoracic spine.