Breast cancer, back pain with a wraparound pain throughout abdomen. Lumbar: Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Degenerative changes are seen, 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.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: There is moderate disc height loss with fatty endplate marrow signal changes. There is mild disc bulge. No significant spinal canal stenosis. There is minimal narrowing of the bilateral neural foramina. Paraspinous soft tissues are within normal limits.
1. No evidence of metastatic disease in the lumbar spine.2. Degenerative changes at the L5-S1 level including disc height loss and mild bulge. No spinal canal stenosis. Minimal bilateral neural foraminal narrowing.3. MR Technologist note: Thoracic MRI could not be obtained due breast tissue expander. Per manufacturer, thoracic MRI may damage implant but would not pose safety risk to patient.