Male, 20 years old, with low back pain, wrestler. Assess for disk injury or spondylolysis. Spinal alignment is within normal limits. Vertebral body heights are maintained. Bone marrow signal intensity is within normal limits. Small scattered Schmorl's nodes are seen without evidence of edema. No findings to suggest spondylolysis are evident.The visualized spinal cord, conus and cauda equina demonstrate normal signal intensity and morphology. A small central/right paracentral disk protrusion is present at L5-S1 with slight loss of disk height posteriorly. No significant spinal canal or neuroforaminal stenosis is seen at this level. There is no evidence of nerve root impingement.Elsewhere, no significant disk herniation, spinal canal or neuroforaminal stenosis is seen. Mild to moderate facet hypertrophy becomes evident at lower lumbar levels.
Small disk herniation at L5-S1 without nerve impingement, spinal canal stenosis, or neuroforaminal narrowing.