48 years Female (DOB:11/23/1967)Reason: low back pain History: as abovePROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a broad-based central disc protrusion at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There are some mild to moderate facet hypertrophy at this level. There is also some ligamentum flavum hypertrophy at this level. There is some narrowing of the thecal sac at this level resulting from the facet hypertrophy.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is facet and ligamentum flavum hypertrophy at this level associated with a mild disc bulge and some triangulation of the thecal sac with some mild crowding of the nerve roots. Overall there is a mild degree of spinal stenosis.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a mottled appearance of the marrow signal with foci of low signal on T1 and some foci of high signal on T1 spinal marrow. It is nonspecific. An MRI of the cervical spine from 6/9/2015 demonstrates similar findings.
1.There are multilevel degenerative changes present in the lower lumbar spine with mild degrees of spinal stenosis at L3-4 and to a lesser degree L4-5. This canal narrowing is predominantly due to facet hypertrophy. There is a broad-based central disc protrusion at L5-S1.