Reason: 45 y/o with pmh L4/L5 fusion, s/p MVA presenting with acute lumbar pain, decreased strength and ROM. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights and alignment are maintained. Bone marrow signal is benign. The conus medullaris is normal in position.Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease aside from desiccation. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L4-L5: Postsurgical changes with evidence of laminectomy and interspinous fusion. There is solid interspinous fusion. Degenerative changes anteriorly including severe loss of disc height, vacuum phenomena, and subchondral cyst are not significantly changed. There is a disc osteophyte complex with partial effacement of the left lateral recess which was also present on prior 2012 MRI. No significant central canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis. Facet arthropathy, left greater than right.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.There is a 2.1 cm left adnexal cyst, which is of doubtful clinical significance in a woman of reproductive age
1. No findings to suggest traumatic injury including compression fracture or hematoma within the spinal canal.2. Evidence of interspinous fusion at L4-L5 is again seen. 3. Degenerative changes involving the L4-L5 disc space are similar to prior from 2012. Partial effacement of the left lateral recess as well as mild to moderate left and mild right neural foraminal stenosis are also similar to prior from 2012.