Vague, non-dermatomal lower back pain. There appear to be 6 lumbar type vertebral bodies, in which the first nonrib-bearing vertebral vertebral body will be designated L1. Furthermore, there is partial sacralization of the right L6 vertebra, where there appears to be hypertrophy at the articulation with the sacrum. There is associated slight narrowing of the L5-6 neural foramen. Otherwise, there is no significant neural foraminal or spinal canal stenosis elsewhere in the lumbar spine. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The tip of the conus is approximately situated at the level of L1-L2. The paravertebral soft tissues are unremarkable. There is a 2.4 cm left ovarian physiologic follicle.
Apparently there are 6 lumbar type vertebral bodies with partial sacralization of the right L6 vertebra, where there appears to be hypertrophy at the articulation with the sacrum and associated slight narrowing of the L5-6 neural foramen. This may represent a form of Bertolotti syndrome. Otherwise, there is no significant neural foraminal or spinal canal stenosis elsewhere in the lumbar spine. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.