Unspecified type of carcinoma in situ of left breast. Abnormal uptake on PET. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position. No suspicious enhancing lesions.Minimal multilevel disc bulges are present in the lumbar spine. Additional details as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis. There is moderate degree of bilateral facet arthropathy with edema and enhancement involving the adjacent soft tissues as well as the adjacent L4 and L5 pedicles. Degenerative hypertrophic changes of the facet joints with vacuum phenomenon also evident on prior PET/CT.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. No evidence of metastatic disease in the lumbar spine.2. Moderate degree of facet arthropathy bilaterally at the L4-5 level with mild surrounding edema and enhancement which is most likely reactive.