 There are 5 lumbar-type vertebral bodies presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. There is redemonstration of a 12 mm T1 and T2 hyperintense lesion in the L2 vertebral body, likely a hemangioma, which is unchanged from the prior exam, but increased in size compared to prior MRI dated 7/5/2007. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the L1-L2 level. There is multilevel facet degenerative changes. Level by level degenerative changes are as follows:L1-L2, L2-L3, L3-L4 and L4-L5 intervertebral disc spaces show no evidence of disc bulge, significant neural foraminal stenosis or spinal canal stenosis.At L5-S1, there is mild narrowing of the disc as well as disc desiccation. There is an annular fissure and small central disc protrusion, unchanged when compared to the prior exam. The disc protrusion may be abutting the right S1 nerve root but without any mass effect or displacement.
1. Degenerative changes in the lumbar spine predominantly at the L5-S1, where there is a stable small central disc protrusion probably abutting the right S1 nerve root at the lateral recess.2. L2 vertebral body lesion most likely representing a hemangioma, without change from the immediate prior exam. 3. No evidence of significant neuroforaminal or spinal canal stenosis.