H/o cervical cancer. The lumbar lordosis is present. The lumbar spine alignment appears within normal limits. Abnormal hyperdensity is seen in the L2, L4, L5 and S1 vertebral bodies, in which there are 30% loss of height in the L2 vertebral body and depression of the right superior endplate of the L5 vertebral body. T12/L1: disc bulge and bilateral facet hypertrophy; no neuroforaminal compromise or spinal canal stenosis. L1/L2: disc bulge, vacuum phenomena and bilateral facet hypertrophy; no neuroforaminal compromise or spinal canal stenosis. L2/L3: disc bulge and bilateral facet hypertrophy; no neuroforaminal compromise or spinal canal stenosis. L3/L4: disc bulge and bilateral facet hypertrophy; no neuroforaminal compromise or spinal canal stenosis. L4/L5: disc bulge, vacuum phenomena and bilateral facet hypertrophy; left neuroforaminal compromise; no spinal canal stenosis. L5/S1: disc bulge, vacuum phenomena with small amount of air in the epidural space and bilateral facet hypertrophy; bilateral neuroforaminal compromise; no spinal canal stenosis. These findings have been stable since prior MRI.
1. Metastases likely involving the L2, L4, L5 and S1 vertebral bodies with the L2 and L5 compression or pathologic fractures. 2. Degenerative disease of the lumbar spine as detailed above. 