Paresthesias. Prior history of L5 NHL. Brain:No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. There is mild parenchymal volume loss. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. No destructive lesions within the calvarium. Cervical:Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate height. Alignment is maintained. Bone marrow signal is within normal limits. The cervical spinal cord has normal signal characteristics and overall morphology.Minimal degenerative changes are seen in the cervical spine with tiny disc protrusions at C4-5 and C5-6. No significant spinal canal or neural foraminal stenosis at any level in the cervical spine. Tiny perineural cysts are incidentally noted at multiple levels.Lumbar:There is a disc bulge at T11-T12 which is partially imaged and mildly effaces the ventral thecal sac. There is mild compression deformity involving the L5 vertebral body with Schmorl nodes at the endplates. There is lesion involving the L5 vertebral body with heterogenous signal including STIR hyperintensity. There is T1 shortening involving the L4, L5 and sacrum which may be related to prior radiation. Remainder of the vertebral body heights and alignment are unremarkable.There is no significant disc herniation. No spinal canal or neural foraminal stenosis at any level in the lumbar spine. Tiny perineural cysts incidentally noted. Mild lumbar facet arthropathy.Distended urinary bladder noted as well as a partially visualized 3 cm cystic structure possibly adnexal or bladder diverticulum but incompletely evaluated.
1. No evidence of intracranial mass or mass effect. No evidence of infarct. 2. Minimal degenerative changes in the cervical spine. No cord signal abnormality. No spinal canal or neural foraminal stenosis.3. No spinal canal or neural foraminal stenosis in the lumbar spine.4. Heterogeneous lesion at the L5 vertebral body with mild compression deformity of L5. Findings are compatible with history of treated lymphoma but consider comparison with prior studies if available.5. Partially imaged distended urinary bladder and adjacent 3 cm cystic structure posterolaterally on the left. Ultrasound can be considered for better visualization if clinically indicated.