Low back pain [M54.5], Reason for Study: ^Reason: chronic low back pain with daily pain History: as above 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 conus medullaris terminates at the T12-L1 level. There is focal annular fissure at the level of L45 with diffuse bulging of disc which abuts thecal sac. The L45 disc shows disc dessication.Other lumbar intervertebral discs are normal.
Focal annulus fissure with diffuse bulging of disc, L45 with disc dessication.Otherwise unremarkable.