Diagnosis: Low back pain Other chronic painClinical question: source of chronic midline LBP (L5-S1), no radiculopathySigns and Symptoms: intermittent LBP since childhood, L5-S1 Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height, disk dessication and a small central disk protrusion at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There is a small central disk protrusion at L5-S1. There is no compromise to lumbar spinal canal or neural foramina.