Clinical question: Evaluate disk herniation. Signs and symptoms: LBP for months; cannot run. Also has tailbone pain. Nonenhanced lumbar MRI:Examination extends from T9 -- T10 disk level inferiorly through mid S3 and does not include the distal sacral spine.There is normal anatomical development, signal intensity and alignment of vertebral column.There is no evidence of any appreciable degenerative disk disease, no evidence of spinal canal compromise or stenosis at any level and no evidence of neural foraminal compromise. The alignment of the vertebral column is within normal and there is no evidence of marrow space T2/T2 stir hyperintensity to suggest edema in particular in the lower lumbar spine to suggest presence of pars defect.Lowermost visualized thoracic spine and thoracic cord is unremarkable. The signal intensity of conus and cauda equina is within normal and with normal termination of the cord at mid L1 level.No detectable perispinal soft tissue/musculature abnormalities. Visualized kidneys are unremarkable. Visualized SI joints are unremarkable.
Unremarkable nonenhanced lumbar MRI.