55-year-old male with back pain, r le. S/p lumbar decompression. Again seen is a poorly defined lucency within the L4 vertebral body compatible with metastatic disease with pathologic fracture of the inferior endplate of L4 as seen on recent MRI. Severe degenerative disc disease affecting L4/L5 and L5/S1 with relatively mild degenerative disc disease affecting the upper lumbar levels. Moderate facet joint osteoarthritis affects the lower lumbar levels. There are minimal retrolistheses of L4 and L5 that appear stable between flexion and extension views. There is also an approximately 3 mm anterolisthesis of L3 that decreases slightly on extension views. Slight kyphosis of the lumbar spine centered at L3/L4. Mild superior endplate deformity of L2.
Degenerative arthritic changes and metastatic disease as described above.Findings were discussed with Dr. Gina Bradley by phone on 5/15/2015 at 10:50 AM. 