Female, 51 years old, with persistent back pain three months after ceiling fell on her. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is observed. The distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.T12-L1 through L3-4: The intervertebral discs are preserved with no evidence of spinal canal or foraminal stenosis. Mild facet arthropathy is seen at L3-4.L4-5: Moderate facet arthropathy is noted. Slight loss of disc T2 signal and minimal right foraminal annular fissuring. No significant disc herniation is seen. The spinal canal and neural foramina are not significantly narrowed. L5-S1: Moderate facet arthropathy noted. Disc bulging with a small central disc protrusion. No significant generalized spinal canal stenosis. The left neural foramen is mildly narrowed.
1.No evidence of any posttraumatic lumbar spine injury.2.Facet arthropathy develops at lower lumbar levels.3.Findings related to mild disc degeneration are seen at L4-5 and L5-S1 without significant spinal canal stenosis.