 The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There are focal areas of T1 hyperattenuation in the L1 and L5 vertebral bodies likely representing hemangiomas or focal fat. The vertebral bone marrow signal is otherwise unremarkable. The spinal cord displays normal signal and morphology. The conus terminates at the lower L1 level. The paravertebral soft tissues are unremarkable. However, there is a subcentimeter T1 and T2 hypointense lesions in the body of the uterus. At T12/L1, there is no significant spinal canal or neural foraminal stenosis. At L1/L2, there is mild facet arthropathy and ligamentum flavum hypertrophy without significant spinal canal or neural foraminal stenosis. At L2/L3, there is facet arthropathy and ligamentum flavum hypertrophy without significant spinal canal or neural foraminal stenosis. At L3/L4, there is facet arthropathy and ligamentum flavum hypertrophy and a slight disc bulge with mild spinal canal stenosis. No significant neural foraminal stenosis. At L4/L5, there is a disc bulge with superimposed eccentric right protrusion and facet arthropathy and ligamentum flavum thickening with moderate spinal canal stenosis with apparent impingement of the nerve roots in the right lateral recess and minimal bilateral neural foraminal stenosis. At L5/S1, there is mild facet arthropathy and ligamentum flavum hypertrophy without significant spinal canal or neural foraminal stenosis.
1. Multilevel degenerative spondylosis, which is most pronounced at the L4/L5 level.2. A subcentimeter lesion in the uterus likely represents a fibroid. However, ultrasound of the pelvis may be useful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.