Low back pain [M54.5], Reason for Study: ^Reason: chronic low back pain History: back pain 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 T12-L1 level. The paraspinal soft tissues are unremarkable.There is focal bulging of disc at the level of L45 toward right L45 neural foramen.At the level of L5S1, there is broad based disc protrusion toward right L5S1 neural foramen.
1. Disc herniation toward right L5S1 neural foramen and disc bulging toward right L45 neural foramen.2. Otherwise unremarkable.