Low back pain [M54.5], Reason for Study: For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: disc dessication, diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: disc dessication with evidence of left side partial laminectomy. There is broad based disc protrusion toward left side lateral recess which abuts left side nerve roots. L5-S1: disc dessication, there is broad based disc protrusion toward left side neural foramen and results mild to moderate neural foraminal stenosis.
1. L4-L5 disc herniations toward left side lateral recess with evidence of partial laminectomy.2. L5-S1 disc herniations toward left neural foramen.3. Disc dessication with diffuse bulging of disc at the level of L23.