Lumbar pain. Fracture versus disc bulge. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. No evidence of fracture within the limits of MRI. Alignment is within normal limits aside from mild straightening. Bone marrow signal is benign. There is a small nonspecific focus of fat attenuation involving the anterior superior L3 vertebral body. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: Disc desiccation with mild height loss. There is a central and left greater than right paracentral disc protrusion. There is contact of the descending S1 nerve roots without impingement. No significant spinal canal or neural foraminal stenosis.
Small disc protrusion at the L5-S1 level. No significant spinal canal or neural foraminal stenosis at any level.