Female, 38 years old, with back pain and right leg pain. History of fibrosarcoma along the left thigh. Evaluate for disc protrusion, tumor recurrence, abscess. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow signal abnormality or enhancement is observed. The distal spinal cord, conus and cauda equina are within normal limits. No pathologic intrathecal enhancement is seen. No epidural lesions are detected.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet hypertrophy and ligamentum flavum thickening. No spinal canal or foraminal stenosis. L4-5: Facet hypertrophy and ligamentum flavum thickening. Loss of disc T2 signal with mild bulging and a small central disc protrusion. No significant spinal canal stenosis or nerve root impingement is seen. The neural foramina are not significantly compromised. L5-S1: Facet hypertrophy. Minimal disc bulging. No spinal canal or foraminal stenosis.
1.Disc degeneration is seen at L4-5 with loss of the normal disc T2 signal, slight disc bulging and a small central protrusion. However, no significant spinal canal stenosis or nerve root impingement is observed.2.No evidence of metastatic disease or spinal infection.