55-year-old male with left leg weakness. There is metallic susceptibility artifact related to the patient's history of orthopedic fixation of the lumbosacral spine with associated postoperative changes in the adjacent soft tissues. There is grade 2 anterolisthesis of L5 on S1 with severe degenerative disc disease at this level. Please see the dedicated lumbar spine MRI report for additional details. There are small lobulated foci of signal abnormality within the intertrochanteric region of the left femur with minimal enhancement likely representing enchondromas. The bone marrow signal intensity of the pelvis is otherwise normal. Mild osteoarthritis affects both hip joints, which otherwise appear normal for the patient's age. There is bony bridging along the anterior aspect of the sacroiliac joints which is likely degenerative in etiology. Mild degenerative arthritic changes affect the pubic symphysis. We see no focal mass lesions within the pelvis. The musculature of the hips is symmetric without evidence of edema. Other than the soft tissues posterior to the aforementioned lumbosacral spine we see no abnormal enhancement. Although this examination was not protocoled for detailed evaluation of the prostate, there is decreased signal abnormality within the body and apex of the right peripheral zone of the prostate gland, which is incompletely characterized. There may be post surgical changes of prior TURP.
1. Postoperative and degenerative changes of the lumbosacral spine. Please refer to the lumbar spine MRI report for additional details.2. Mild osteoarthritis of the hips, sacroiliac joints, and pubic symphysis but no findings within the pelvis to account for the patient's left leg weakness.3. Signal abnormality within the prostate gland which is incompletely characterized on this non dedicated MRI examination. Correlation with PSA levels is recommended as we cannot exclude the possibility of prostate carcinoma on this examination.