Clinical question: Trauma. Signs and symptoms: Trauma. Nonenhanced lumbar MRI:There is normal signal intensity and anatomical alignment of vertebral column.Unremarkable lower most visualized thoracic spine and including thoracic cord from T10 inferiorly.T12-L1 demonstrate small Schmorl's nodes along the inferior endplate of T12 and superior endplate of L1 similar to prior exam. No spinal stenosis or neural foraminal compromise.L1-L2 demonstrate a small Schmorl's node along the superior endplate of L2 and unremarkable otherwise.L2-L3 demonstrate mild ligamentum flavum hypertrophy and mild facet disease without spinal stenosis or neural foraminal compromise.L3-L4 demonstrate mild disc disease and loss of disc height, mild to moderate bilateral ligamentum flavum hypertrophy and mild facet disease. Subtle increased T2/T2 STIR signal intensity within the facet space could represent minimal facet effusion (axial T2 series 701 image 17).L4-L5 demonstrate mild disc disease and loss of disc height, moderate bilateral ligamentum flavum hypertrophy and mild facet disease without hypertrophy changes. No spinal stenosis or neural foraminal compromise.L5-S1 demonstrate mild ligamentum flavum and facet degenerative changes and mild disc desiccation without spinal stenosis or neural foraminal compromise. Unremarkable paraspinal soft tissues.
1.Examination demonstrate no evidence of posttraumatic findings, no spinal stenosis or neural foraminal compromise at any level.2.Mild degenerative changes of lower lumbar spine as detailed per level above.3.No appreciable interval change since prior exam from May 2015.