Low back pain [M54.5] / Other chronic pain [G89.29], Reason for Study: ^Reason: back pain History: same For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. 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 epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the L1 level. The paraspinal soft tissues are unremarkable.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: no neuroforaminal narrowing or spinal stenosis. L3-L4: Minimal left side foraminal and far lateral bulging of disc results minimal left side neuroforaminal minimal narrowing. No spinal stenosis. L4-L5: Diffuse bulging of disc which abuts thecal sac with bilateral ligamentum flavum thickening. Minimal neuroforaminal narrowing at this level. L5-S1: Bilateral ligamentum flavum thickening, no neuroforaminal narrowing or spinal stenosis.
1. Multilevel minimal degenerative changes of lumbar spine.2. No evidence of disc herniation.3. No obvious spinal canal stenosis.4. Minimal neuroforaminal stenosis at the level of L34 left side, otherwise unremarkable.