pt had MRI previously L3-L5 bulging discs. No improvement in pain with patient has bulging worsened 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. There is a formed disc at S1-S2. There is mild disc desiccation at L3-4 and L4-5 associated with mild loss of disc space height.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a broad-based central disc extrusion present at this level associated with some disc material tracking behind the superior endplate of L5. The fat at the lateral recesses sees is not effaced. The fat surrounding the exiting nerve roots within the neural foramina is not effaced.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.
1.Please note that there is a formed disc at S1-S2 which may confound enumeration of the vertebra2.There is a small central disc extrusion at L4-5 without significant compromise to the spinal canal or exiting nerve roots.