Evaluate for stability of hemangioma, left lower extremity weakness, pain, and radicular signs. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign with T2/STIR hyperintense lesion with enhancement involving the L4 vertebral body, right greater than left, most compatible with a hemangioma. Lesion measures up to 3 cm in diameter similar to prior. Subcentimeter T1 hyperintense lesion involving the superior L1 vertebral body is also compatible with small hemangioma. The conus medullaris is normal in position. Individual levels as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Unchanged enhancing L4 lesion most compatible with a hemangioma.2. No spinal canal or neural foraminal stenosis at any level.