 Suspected posterior vertebral body scalloping identified on prior x-ray is not appreciated on the current MRI exam. Levoscoliosis is present with its apex centered at approximately L1/2. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. There is a partially imaged mass in the right upper quadrant which is both T1 and T2 hyperintense.T12/L1: UnremarkableL1/2: UnremarkableL2/3: Mild bilateral facet hypertrophy without stenosis.L3/4: Diffuse annular disc bulge, slight ligamentum flavum thickening, and mild bilateral facet hypertrophy. There are no significant stenoses.L4/5: Diffuse annular disc bulge, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There are no significant stenoses.L5/S1: Mild disc bulge and mild bilateral facet hypertrophy. There are no significant stenoses.
1.Levoscoliosis is present with its apex centered at approximately L1/2.2.There is a partially imaged mass in the right upper quadrant which is both T1 and T2 hyperintense. This may represent a distended gallbladder, however is only partially imaged secondary to lumbar spine acquisition technique. Recommend evaluation with abdominal ultrasound for a more thorough characterization.3.Mild degenerative changes without significant stenoses.4.Findings were discussed with Dr. Blackman (covering for Dr. Cotts) on 2/16/2015 at approximately 2:35 p.m.