Neoplasm of unspecified behavior of bone, soft tissue, and skin [D49.2] / Radiculopathy, lumbar region [M54.16], Reason for Study: ^Reason: hx neuroblastoma with lumbar spine tumor. eval for change History: RLE pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. Paraspinal mass seen on the right side of lumbar vertebral body extending from T12 to the level of L34 disc is again seen.Especially the mass from the level of L23 to L34 where the mass extends retrocaval area and retroperitoneal space, appear to increase in thickness since prior scan. For example, the retrocaval enhancing mass is measured about 20.1mm which was about 14mm.Other level of the mass lesions including L12 level lesion which extends toward right side L12 neuroforamen and right side psoas muscle, as well as retropleural space mass on the right side at the level of T12 appear to be stable in size and the extent.The right kidney is smaller than that of the left and minimal mass effects from the L1 level paraspinal mass is seen, unchanged. Mild remodelling of the right L2 transverse process is also seen, unchanged.Unchanged inhomogenous vertebral body signal intensity, mild disc dessication and central disc protrusion at the level of L5S1. The right L34 and left L45 neuroforaminal minimal to mild narrowing is again seen, unchanged since prior scan.Spinal cord signal intensity is normal.There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The conus medullaris terminates at the L1 level.
1. Localized increase in size of retroperitoneal mass and retrocaval mass between the level of L23 and L34 since prior scan.2. Otherwise, no significant interval change of right side paraspinal mass since prior scan.3. Unchanged minimal neuroforaminal stenosis at the level of L34 and L45 as well as disc protrusion at the level of L5S1. 