Neoplasm of unspecified behavior of digestive system [D49.0] / Malignant neoplasm of unspecified kidney, except renal pelvis [C64.9], Reason for Study: ^Reason: 52 y/o with history of renal cell ca and IPMN s/p resection now with 6 months of low back pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the L1 level. There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: Mild disc desiccation. No neuroforaminal narrowing or spinal stenosis. L2-L3: Mild disc desiccation. No neuroforaminal narrowing or spinal stenosis. L3-L4: Mild disc desiccation. No neuroforaminal narrowing or spinal stenosis. L4-L5: There is minimal (grade 1) anterolisthesis of L4 on L5 with disc desiccation. No neuroforaminal narrowing or spinal stenosis. L5-S1: Mild disc desiccation. No neuroforaminal narrowing or spinal stenosis.
1. Grade 1 anterolisthesis of L4 on L5.2. Multilevel desiccation indicating degenerative changes.3. No evidence of metastatic lesion.