 There is a relatively well-circumscribed enhancing lesion within the right posterior superior aspect of the L2 vertebral body with extension into the right pedicle, measuring up to 15 mm in height, previously 12 mm. There is no associated retropulsion or extension into the spinal canal. Aside from a small Schmorl's node within the posterior inferior endplate of L3, the vertebral body heights are preserved. The spinal cord displays normal signal and morphology. The tip of the conus is at L1. There is multilevel degenerative spondylosis that is most pronounced at L4-L5, where there is severe right and mild left neural foraminal stenosis and associated endplate signal alterations, including patchy enhancement. However, there is no significant central canal stenosis. The paraspinal soft tissues are unremarkable.
1.The lesion within the L2 vertebra, which has slightly increased in size and demonstrates hypermetabolism on PET, likely represents a metastasis without associated extension into the spinal canal or fracture.2.Multilevel degenerative spondylosis that is most pronounced at L4-L5, where there is severe right and mild left foraminal stenosis.