Multiple myeloma. Is there evidence of multiple myeloma involvement. Five lumbar type vertebral bodies are presumed to be present. Conus is in normal position. There is mild loss of vertebral body height and deformity involving the superior endplate of the L2 vertebral body as well as mild loss of height involving the L4 vertebral body, without significant edema, and likely representing chronic mild compression fractures. Minimal deformity at additional levels is also suspected without significant height loss.There is grade 1 anterolisthesis of L5 on S1. There is also straightening of the lumbar curvature. Alignment is otherwise maintained.No discrete marrow infiltrative lesions are appreciated to definitively suggest multiple myeloma. T1 hyperintense lesions involving the T12 vertebral body as well as the posterior L3 vertebral body are consistent with small hemangiomas or foci of fat. Additional areas of T1 hypointensity along the endplates is most likely on a degenerative basis.There are multilevel degenerative changes which are suboptimally evaluated due to motion degradation, individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge. No spinal canal or neural foraminal stenosis.L3-L4: Mild disc bulge. No spinal canal or neural foraminal stenosis.L4-L5: Minimal retrolisthesis and minimal disc bulge. No spinal canal or left neural foraminal stenosis. Mild right neural foraminal stenosis.L5-S1: Moderate to severe disc height loss and grade 1 anterolisthesis. Facet arthropathy, particularly on the left. There is no significant spinal canal stenosis. The moderate bilateral neural foraminal stenosis. Suggestion of L5 pars defects, not well assessed due to motion degradation.Paraspinous soft tissues are within normal limits.
1. No findings to suggest myelomatous involvement of the lumbar spine within the limitations of a noncontrast and mildly motion degraded study.2. Mild chronic compression fractures involving the L2 and L4 vertebral bodies.3. Multilevel degenerative changes without spinal canal stenosis at any level. There is mild to moderate bilateral L5-S1 neural foraminal stenosis.