61 years Male (DOB:6/7/1955)Reason: back pain with hx of spinal cor History: Outside orderPROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY MRI thoracic spine:The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no compromise of thoracic spinal canal or exiting nerve roots. No abnormal enhancing lesions are appreciated in the thoracic spine.Lumbar spine: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. The patient is status post left hemilaminectomy at L5-S1 and laminectomies at L1-2 and L2-3.No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal. There is loss of disk space height, disk dessication and diffuse disk bulge at this level associated with narrowing of the left neural foramen and mild to moderate encroachment of the left sided exiting nerve roots. This is stable since the prior exam.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height, disk dessication and diffuse disk bulge at this level associated with narrowing of the neural foramina. The exiting nerve roots are surrounded by fat. This is stable since the prior exam.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 a well circumscribed16 mm enhancing lesion in the right posterior lobe of the liver which is bright on T2 and isointense to the rest of the liver on T2 .This was not included on the prior exams.There is a small cystic lesion in the right kidney.
1.The patient is status post lumbar spine surgery. The appearance is not changed since the prior exam.2.There is a16 mm lesion in the right lobe of the liver. If clinically appropriate additional imaging of the liver may be helpful to further evaluate this.3.No abnormal mass lesions are identified in the lumbar or thoracic spinal canal.4.There are degenerative changes in the lower lumbar spine which are worse at L4-5 and L5-S1 with some mild encroachment of left sided exiting nerve roots at L5-S1 which are stable compared to the prior exam.