Persistent lower back, right leg and shoulder pain after a 55 mph MVC on 3/26/16. There are slight disc left foraminal protrusions and mild facet arthropathy bilaterally at L3-4 and L4-5, without apparent nerve root impingement or significant spinal canal stenosis. There is no appreciable intervertebral disc disease at T12 through L3 and L5-S1. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Slight disc left foraminal protrusions and mild facet joint arthropathy bilaterally at L3-4 and L4-5, without apparent nerve root impingement or significant spinal canal stenosis. No appreciable intervertebral disc disease at T12 through L3 and L5-S1. 