CASE HISTORY/CLINIC:
67-year-old patient with back pains that radiate to the legs


FINDINGS:
Thin, poorly defined zone with isointense to hyperintense signal on T1 and iso- to slightly hyperintense signal on T2 (fat saturation) and contrast enhancement on the T1 weighted sequence (fat saturation) in the subcortical medullary cavity (in comparison to the adjacent normal marrow). Lumbar vertebral bodies 1/2 and 3/4 with reduced intervertebral space and Signal effacement of the intervertebral discs (or Nucleus pulposus) of the entire lumbar vertebral column. Narrow spinal canal.

DIAGNOSIS:
Degenerative lesions in the lumbar vertebral column with changes in the medullary cavity of the vertebra (Modic II) and degenerative changes in intervertebral discs (desiccated Nucl. Pulposus ) and narrowing of the intervertebral space. Narrow spinal canal.

web resources:

1) AWMF