Diagnosis: LumbagoClinical question: follow up study. Lesion in lumbar vertebraSigns and Symptoms: painful lower back 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.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.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is redemonstration of a 9mm lesion along the inferior aspect and inferior endplate of the L1 vertebral body which was previously associated with T2 signal hyperintensity. This T2 signal hyperintensity has resolved since the prior exam.
1.No compromise to lumbar spinal canal or neural foramina.2.A lesion at the inferior aspect of L1 has the appearance of a large Schmorl's node. Previously seen inflammatory change associated with this have resolved and it is now in a more chronic stage.