 For numbering purposes, a total of 5 lumbar type vertebral bodies are identified. Alignment is anatomic. There are no fractures or subluxations. Vertebral body heights and intervertebral disc spaces are preserved. There is bone marrow signal heterogeneity and scattered foci of T1 hyperintensity in the lumbar vertebral bodies, suggestive of fat or hemangiomas. There are additional areas of low T1 and low T2 signal such as in the anterior L2 vertebral body, inferior midportion of the L3 vertebral body, and inferior aspect of the L4 vertebral body. No associated STIR hyperintensity or enhancement is seen. There is no definite evidence of osseous metastatic disease, however possibility of these lesions representing sclerotic, possibly metastatic lesions is not entirely excluded. There is no evidence of epidural tumor or compression fracture. The conus is normal in signal and morphology and terminates at T12-L1 level. No abnormal enhancement of the cauda equina is identified. Multiple subcentimeter cystic-appearing structures are noted in bilateral kidneys.T12/L1: No evidence of neural foraminal or spinal canal stenosis.L1/2: No evidence of neural foraminal or spinal canal stenosis.L2/3: There is mild disc bulge and facet joint arthropathy, with no significant spinal canal or neural foraminal stenosis.L3/4: There is a disc bulge with moderate facet joint arthropathy, with partial effacement of the lateral recesses and mild bilateral neural foraminal stenoses. No significant central spinal canal stenosis. There is mild enhancement associated with facet arthropathy at this level, likely related to degenerative changes.L4/5: There is a disc bulge with left posterior annular fissure and mild left neural foraminal stenosis. No spinal canal or right neural foraminal stenosis is identified. Mild facet joint arthropathy noted at this level.L5/S1:No significant spinal canal or neural foraminal stenosis. Bilateral facet arthropathy.
1.No definite evidence of metastatic disease in the lumbar spine. However there are several small nonspecific foci of low T1 and T2 in the lumbar spine vertebral body, as described above. These are nonspecific, however the possibility that these may represent sclerotic metastatic disease is not entirely excluded. Consider bone scan or follow-up MRI as clinically appropriate.2.No evidence of significant spinal canal stenosis.3.Scattered neural foraminal stenoses, as described above.