Worsening LLE weakness, history of breast cancer- determine etiology of weakness 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. T1 hyperintense lesions primarily involving the L1 and L3 levels with additional smaller ones such as at the L2 and S1 levels consistent with hemangiomas. The conus medullaris is normal in position. No suspicious enhancement in the lumbar spine.Mild 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. Mild facet arthropathy with small subchondral cyst on the right.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis. Bilateral facet arthropathy.L5-S1: There is disc desiccation with mild bulge. There is also mild bilateral facet arthropathy. There is no significant spinal canal stenosis. There is minimal right and mild to moderate left neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
1. No evidence of metastatic disease in the lumbar spine.2. Mild degenerative changes in the lumbar spine, relatively worse at the L5-S1 level where there is mild-to-moderate left sided neural foraminal stenosis and possible impingement of the exiting L5 nerve root related to combination of mild disc bulge and facet arthropathy. 