Male, 56 years old, with diffuse large B-cell lymphoma. Thoracic:Exaggeration of the thoracic kyphosis is unchanged. Sagittal alignment is otherwise unremarkable. Vertebral body heights are preserved. Scattered small Schmorl's node defects are seen in the endplates, unchanged. No other areas of pathologic marrow replacement or abnormal enhancement are suspected. The visualized spinal cord demonstrates normal signal characteristics and is free of pathologic enhancement. No significant compromise of the spinal canal or neural foramina is seen.Lumbar:Mild edema and enhancement centered along the L2-3 endplates is again seen similar to the prior examination. No osseous destruction is evident. No other areas of pathologic marrow replacement or enhancement are seen. Sagittal alignment is unremarkable. Vertebral body heights are preserved. The visualized distal spinal cord, conus and nerve roots of the cauda equina show normal signal characteristics and are free of pathologic enhancement. Mild disc degeneration is seen at all levels along with posterior element hypertrophy at lower lumbar levels. No high-grade spinal canal or foraminal stenosis is seen.
No definite evidence of myelomatous disease is seen in the thoracic or lumbar spine. Mild edema and enhancement centered at the L2-3 endplates is unchanged and favored to be degenerative in etiology.