Acute-onset numbness down both legs. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are intact. The lower spinal cord and cauda equina have normal morphology and signal characteristics. A small disc protrusion at L5-S1 is unchanged, extending into the lateral recess, without significant associated neural foraminal or spinal canal narrowing. There is no significant neural foraminal or spinal canal stenosis at the other lumbar spine levels either. The vertebral bone marrow signal is unremarkable. There is a small left renal cyst. The uterus is heterogeneous with several low T2 signal nodules and blurring of the junctional zone, as well as complex adnexal lesions. There may also be a small amount of free fluid in the pelvis.
1. Unchanged small left paramedian disc protrusion at L5-S1, but no significant spinal canal or neural foraminal stenosis at any lumbar spine level. 2. Partially imaged uterine fibroids and/or adenomyosis and probable complex adnexal cysts. A pelvic ultrasound may be useful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.