Clinical question: Pain after lumbar steroid injection yesterday. Signs and symptoms: Pain in back and legs bilaterally. Pre and post enhanced lumbar MRI:The signal intensity of vertebral column is unremarkable and without abnormal enhancement.The alignment of vertebral column is anatomical and without interval change since prior exam.There is no detectable abnormal signal or collection in the epidural space and no detectable abnormal enhancement.Degenerative changes at L3-L4 and a small central disc protrusion demonstrate no significant change since prior study. Findings at this level results in mild central spinal stenosis without change.Degenerative changes at L4/L5 and including a broad-based disc protrusion demonstrate slight interval improvement since prior exam and with mild central spinal stenosis.Degenerative changes at L5-S1 and a small shallow central located disc protrusion demonstrates subtle interval improvement and without evidence of spinal stenosis.Paraspinal soft tissues remain within normal angles without detectable abnormal enhancement.
1.No detectable complication from recent intervention.2.Multilevel central disc protrusion at L3-4, L4-L5 and L5-S1 levels demonstrate mild interval improvement since prior exam.3.No detectable abnormal enhancement of the vertebral column, cord, cauda equina or epidural spaces.