70 years Female (DOB:5/9/1945)Reason: r/o mets History: severe pain -hx breast cancerReferring Attending: SUSAN HONG Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. No abnormal enhancing lesions are appreciated in the lumbar spine. There is multilevel disc desiccation present.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina. There are some endplate reactive changes at this level associated with Schmorl's node. Some of the endplate reactive changes on the left side are high signal on T2 and low signal on T1 suggesting that they're subacute. There is associated contrast enhancement with this endplate reactive change.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height and a disc bulge at this level. There are some chronic endplate reactive changes at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and some Schmorl's nodes at this level.
1.There are degenerative changes present lumbar spine without significant compromise to the spinal canal or neural foramina.2.Abnormal enhancement adjacent to the superior endplate of L4 and suspected to represent inflammatory reaction from subacute degenerative change rather than metastatic disease. A follow-up exam with help confirm this.