Female, 55 years old, with lower extremity weakness. Alignment is anatomic. Vertebral body height and morphology are within normal limits. A transitional L5 vertebral body is seen. T1/T2 bright foci in the L3 and L4 vertebral bodies most likely represent benign hemangiomas. Generalized reduced bone marrow signal on T1 and T2-weighted images without edema likely correlates to increased osseous density on prior CT. A Schmorl's node deformity is evident along the superior L2 endplate.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are seen.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Unremarkable. L4-5: Mild facet arthropathy. Minimal disc bulging. No significant spinal canal or foraminal stenosis. L5-S1: Unremarkable. A heterogeneous left renal lesion is evident.
1.No evidence of significant disc degeneration, spinal canal stenosis or neuroforaminal narrowing is seen to account for the patient's symptoms.2.Generalized reduced marrow signal likely correlates to increased osseous density seen on prior CT and may reflect renal osteodystrophy.3.A heterogeneous left renal lesion is better assessed on prior exams.