 There is heterogeneous bone marrow in the sacrum and imaged portions of the iliac bones attributable to incomplete fatty marrow replacement. The lumbar vertebral bone marrow otherwise appears unremarkable. There is a normal alignment of the vertebral bodies. The conus medullaris ends at the level of L1. The imaged spinal cord appears unremarkable. There are slight disc bulges and facet hypertrophy at L3-L4, L4-L5, and L5-S1, with mild neural foraminal narrowing on the right side at L3-4 and bilateral mild neural foraminal narrowing at L4-5 and L5-S1, as well as mild narrowing of the spinal canal at L4-5. There is also annular fissuring and discal enhancement at L5-S1, which may represent granulation tissue infiltration. There is partial sacralization of L5 on the right with associated hypertrophic changes at the L5-S1 transverse process articulation. There is a partially-imaged pancreatic cystic lesion.
1. No evidence of lumbar spine metastatic lesion.2. Mild lower lumbar spine degenerative spondylosis.3. Partial sacralization of L5 on the right with associated hypertrophic changes at the L5-S1 transverse process articulation, which can be implicated in Bertolotti syndrome.4. Partially-imaged pancreatic cystic lesion. Please refer to the prior body CT report for additional details.