Low back pain, metastatic pancreatic cancer, evaluate for metastasis in the spine. Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign with scattered foci of T1 hyperintensity compatible with focal fat or hemangiomas. No suspicious enhancing or destructive lesions are appreciated. The conus medullaris is normal in position.Mild degenerative changes are seen with disc desiccation throughout the lumbar spine. Individual levels as described 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. Mild facet arthropathy with tiny synovial cyst posteriorly.L3-L4: Mild disc bulge results in minimal left greater than right neural foraminal narrowing. No significant spinal canal stenosis. Mild facet arthropathy.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.No abnormal enhancement involving the thecal sac or evidence of epidural tumor. There is mild enhancement associated with the facet arthropathy particularly at the L3-L4 level which is likely on a degenerative basis.
1. No evidence of metastatic disease to the lumbar spine. No evidence of significant spinal canal or neural foraminal stenosis.2. Mild degenerative changes including mild multilevel facet arthropathy which may be contributing to patient's low back pain.