back pain with cancer history There is mild straightening of the lumbar lordosis which may be positional. The vertebral bodies appear normally aligned. The vertebral body heights are preserved. There is mild loss of intervertebral disc space at L5-S1. There are postoperative findings related to L5-S1 discectomy with T2 hyperintensity and enhancement within the operative bed with associated endplate degenerative changes. Several small vertebral body hemangiomas are again seen. The conus terminates at L1 and demonstrates normal morphology as well as signal intensity. The cauda equina appear unremarkable.There is a small left neural foraminal disc herniation at L5-S1, slightly increased since prior examination, resulting in mild to moderate left neural foraminal stenosis. There is mild facet arthropathy symmetric disc bulge to the right at the L4-L5 level with a small annular fissure and mild neural foramen narrowing, abutting the adjacent nerve root, however unchanged in appearance. There is a mild disc bulge and mild facet arthropathy at the L3-L4 level without stenosis, unchanged. Several scattered Schmorl's nodes are again seen.
1.No evidence for metastatic disease within the lumbar spine.2.Degenerative changes of the lumbar spine as described above with slightly progressed left L5-S1 disc herniation resulting in mild to moderate left neuroforaminal stenosis, stable at other levels.