51 years Male (DOB:12/6/1965)Reason: low back pain History: low back painPROVIDER/ATTENDING NAME: KIMBERLY MARTIN KIMBERLY MARTIN 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 mild facet hypertrophy present.At L4-5 there is a broad-based central disc protrusion present which is associated with partial effacement of the fat at the lateral recess bilaterally. As well as some encroachment of the left-sided exiting nerve roots within the neural foramen. There is disc desiccation and loss of disc space height at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is a diffuse disc bulge present associated loss of disc space height this desiccation and endplate reactive change. There is ventral impression on the thecal sac at this level associated with crowding of the nerve roots within the thecal sac and mild narrowing of the neural foramina. There is displacement of the exiting nerve roots as the exit the neural foramina due to this disc bulge worse on the right side compared to the left. The endplate reactive changes are high signal on T2 STIR. Overall there is moderate spinal stenosis at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a T1 hyperintense mass which is well-circumscribed and suppresses on the inversion recovery images. It measures 49 x 29 mm sagittal dimensions and is located immediately behind the left-sided perivertebral musculature. This represents a lipoma.
1.There are multilevel degenerative changes in the lumbar spine with moderate spinal stenosis at L2-3 where there are subacute endplate reactive changes and encroachment of exiting nerve roots due to the lateral disc components bilaterally at L2-3. In addition there is a mild encroachment of nerve roots at the lateral recesses at L4-5 and encroachment of the left-sided exiting nerve roots at L4-5.