Diagnosis: LumbagoClinical question: ro disc herniationSigns and Symptoms: above, pseudoscoliosis 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 mild loss of disc space height at this level associated with small endplate osteophytes and a diffuse disc bulge. There is some associated discogenic sclerosis present at this level. There is vacuum disc phenomenon present at this level. There is associated enhancement of the L5-S1 disc and T2 signal hyperintensity.At L4-5 there is a diffuse disc bulge present associated with bilateral ligamentum flavum hypertrophy and effacement of the fat at the lateral recesses bilaterally. There is some facet hypertrophy present on the right side at this level. There is triangulation of the thecal sac and overall a moderate degree of spinal stenosis present at this level. There is partial effacement of the fat surrounding the exiting nerve roots within the neural foramina at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.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.The uterus appears fairly large and associated with multiple heterogeneous signal intensity lesions.
1.There are degenerative changes present in the lumbar spine worse at L4-5 where there is a moderate degree of spinal stenosis related to disc bulge and ligamentum flavum hypertrophy.2.Enhancement of the L5-S1 disc is a likely inflammatory in nature. This could very well be related to degenerative disc disease in an acute phase. Early discitis may have a similar appearance. Please correlate with the patient's clinical symptoms and signs.3.Findings are compatible with uterine fibroids.