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A hyperintense signal in the right L4 vertebra, often observed on MRI scans, typically indicates an area of increased fluid content, which may suggest conditions such as edema, infection, or neoplastic processes. This abnormal signal can be associated with trauma, degenerative diseases, or inflammation. Further evaluation, including clinical correlation and additional imaging, is usually necessary to determine the underlying cause and appropriate management.

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Hyperintense T2 signal at the L4 vertebra typically indicates an area of increased water content, which can be associated with various conditions such as edema, inflammation, or degeneration of the bone or surrounding soft tissues. This signal change may suggest issues like a herniated disc, vertebral fracture, or infection. Further evaluation, often with correlation to clinical symptoms and additional imaging studies, is necessary to determine the underlying cause.


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