Low back pain. The vertebral body heights are within normal limits. There is straightening of the expected lumbar lordosis. The conus medullaris is normal in position, terminating at the level of L2. The right transverse process of the T12 vertebra demonstrates high T2 signal without posterior suppression indicative of possible edematous changes, although this is partially-imaged. There is multilevel degenerative spondylosis, including Schmorl nodes in the inferior portion of L5 and L3 with associated surrounding edematous changes at L5 greater than L3, and a mild disc bulge and ligamentum flavum thickening at L5-S1 with mild bilateral neural foraminal narrowing, but no significant spinal canal stenosis. The paraspinous soft tissues are unremarkable.
1. Multilevel degenerative changes, including Schmorl nodes in the inferior portion of L5 and L3 with associated surrounding edematous changes at L5 greater than L3, and a mild disc bulge at L5-S1 with mild bilateral neural foraminal narrowing, but no significant spinal canal stenosis. 2. The right transverse process of T12 demonstrates high T2 signal without posterior suppression with apparent edematous changes. Further characterization with dedicated thoracic spine is recommended if clinically warranted.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.