68-year-old female with burning pain in the right lower back and buttocks as well as lateral right lower leg, evaluate for sac as well as progression of hemangioma Vertebral body heights are intact. Multilevel disk desiccation with disk space loss at L2-L3 and L3-L4, unchanged. Well-circumscribed 12-mm lesion in the left posterior lateral aspect of the L5 vertebral body is again noted. Additional multilevel foci heterogeneous T1 signal, most prominent at L2 and L5, may represent small hemangiomas or focal fat. No destructive lesions are evident. Signal within the distal cord and conus is normal, terminating at L1. Minimal grade 1 anterolisthesis of L3 relative to L4.T12-L1: No spinal or neuroforaminal stenosis, unchanged.L1-L2: No spinal or neuroforaminal stenosis, unchanged.L2-L3: Asymmetric bulge to the left with mild left neural foraminal stenosis, unchanged.L3-L4: Mild diffuse disk bulge without significant spinal canal or neuroforaminal of stenosis, unchanged.L4-L5: Mild diffuse disk bulge without significant spinal or neural foramina canal stenosis, unchanged. L5-S1: No spinal or neuroforamina stenosis, unchanged.
1.Well-circumscribed lesion in the L5 vertebral body is stable compared to both prior available MRI exams and most likely represents the atypical appearance of a benign hemangioma.2.Mild, stable, spondylosis as above.