Reason: R/o tumor, degeneration, herniated disc, fracture History: L4-L5 tenderness to palpation Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No focal marrow signal abnormality is appreciated. The conus medullaris on sagittal imaging is grossly intact.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is ligamentum flavum and facet hypertrophy but no significant compromise to spinal canal or neural foramina.L2-L3: There is mild disc bulge with right disc protrusion and minimal narrowing of both neuroforamina. Ligamentum flavum and facet hypertrophy is also noted. There is no significant compromise to the spinal canal.L3-L4: There is disc bulge with ligamentum flavum and facet hypertrophy resulting in moderate to severe narrowing of the left neuroforamen and mild to moderate narrowing of the right neuroforamen. There is mild narrowing of the spinal canal.L4-5: There is disc bulge with ligamentum flavum and facet hypertrophy resulting in moderate narrowing of both neuroforamina, left greater than right, and mild narrowing of the spinal canal. L5-S1: There is disc bulge and facet hypertrophy resulting in mild narrowing of the bilateral neuroforamina. No significant compromise to the spinal canal.
Multilevel spondylotic changes affect the lumbar spine, most pronounced at L3-4 and L4-5. No evidence of fracture.