Back pain in a healthy woman with a history of MVA. The vertebral column alignment is within normal limits. Disc desiccation is noted at the L3-4 and L4-5 levels. There is mild anterior wedging of the L1 vertebral body but there is no marrow edema to indicate an acute process. There is a moderate edema involving the superior endplate of L4. The remaining vertebral bone marrow signal elsewhere is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. T12-L1: There is a tiny disc bulge but no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is a mild disc bulge with mild facet arthropathy as well as a left foraminal zone disc extrusion which causes mild to moderate left neural foraminal stenosis and effacement of the left lateral recess. There is mild right neuroforaminal and mild central canal stenosis at this level. L4-5: There is a mild disc bulge and mild facet arthropathy which causes mild left neural foraminal stenosis. There is no significant right neuroforaminal or central canal stenosis. L5-S1: There is a mild disc bulge and mild to moderate facet arthropathy but no significant compromise to spinal canal or neural foramina.
1.Mild edema involving the superior endplate of the L4 vertebral body which is likely degenerative.2.Mild anterior wedging of the L1 vertebral body without adjacent edema or other evidence to suggest an acute process.3.Degenerative changes most prominent in the L3-4 region where a bulging disc, facet arthropathy and left foraminal disc extrusion causing mild to moderate left neural foraminal stenosis as well as some effacement of the left lateral recess.