Female, 49 years old, with history of colorectal cancer, prior scan showing soft tissue thickening within the right pelvis surrounding the ureter. Patient with pain in that area. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow signal abnormality or enhancement is observed. A T1/T2 hyperintense area within the L3 vertebral body likely represents a benign hemangioma.The distal spinal cord and conus are within normal limits. The nerve roots of the cauda equina are slightly disorganized but otherwise unremarkable. No pathologic spinal cord or leptomeningeal enhancement is seen. No epidural abnormalities are suspected.At L4-5, facet arthropathy, mild disc bulging and a small right foraminal annular fissure are demonstrated. No significant spinal canal stenosis is seen. The right neural foramen is slightly narrowed.At L3-4 and L5-S1, only minimal disc bulging is seen with no significant spinal canal or foraminal compromise.Please note that due to the field-of-view prescription of a lumbar spine MRI, the questioned soft tissue mass in the pelvis is only minimally visualized if at all on this examination.
1.Minimal degenerative findings in the lumbar spine without significant spinal canal or foraminal stenosis.2.The questioned soft tissue mass in the pelvis is minimally visualized if at all on this examination due to field of view limitations. An MRI pelvis with and without contrast would provide more appropriate coverage for the area of concern.