Back pain, trauma and 2010, Limited evaluation of the cervical spine on the scout sagittal T1 sequence unremarkable.Thoracic: Vertebral body heights in the thoracic spine are normal. Alignment is normal. Bone marrow signal is within normal limits. There is no significant disk disease, spinal canal, or neural foramina stenosis within the thoracic spine. Thoracic cord is normal in signal and contour.Lumbar:For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are within normal limits. There is grade 1 anterolisthesis of L5 on S1. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position at the T12-L1 level.Mild multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: There is disk desiccation and minimal bulge. Mild right neural foraminal stenosis. No significant spinal canal or left neural foraminal narrowing. L3-L4: There is an annular fissure and small right foraminal disk protrusion. There is mild to moderate narrowing of the right neural foramina and contact of the right exiting L3 nerve root. No significant spinal canal or left neural foraminal stenosis.L4-L5: Minimal disk bulge. No significant spinal canal or neural foraminal stenosis.L5-S1: Minimal disk bulge. Mild anterolisthesis. There is mild right and mild to moderate left neural foraminal stenosis. The left foraminal disc contacts the left L5 nerve root. No spinal canal stenosis. Mild fluid distention involving the posterior elements on the right. Possible pars defect can be better evaluated with CT or oblique radiographs.Paraspinous soft tissues are within normal limits.
1. No significant disk disease, spinal canal, or neural foramina stenosis in the thoracic spine. No compression fractures in the thoracic or lumbar spine.2. Mild anterolisthesis of L5 on S1. There is mild right and mild to moderate left neural foramina stenosis at L5-S1. May consider oblique lumbar radiographs or CT for evaluation of possible L5 pars defect.3. Mild degenerative changes at additional levels as detailed above with associated mild to moderate right L3-L4 and mild right L2-L3 neural foraminal narrowing.