Other intervertebral disc degeneration, lumbar region [M51.36], Reason for Study: ^Reason: back pain History: back pain Cervical spine MRIThere is normal cervical lordosis. The cranial-cervical junction is normal. Spinal cord signal intensity is normal.Vertebral height is preserved. There is no abnormal signal intensity of the vertebral body.Degenerative changes are specified by the intervertebral level as follows: C2-C3: no neuroforaminal narrowing or spinal stenosis. C3-C4: There is diffuse central bulging of disc which abuts thecal sac. No neuroforaminal narrowing. No spinal stenosis. C4-C5: Broad-based disc protrusion which abuts thecal sac results minimal spinal canal stenosis. No neuroforaminal narrowing. C5-C6: Diffuse bulging of disc in association with bilateral ligamentum flavum thickening results mild to moderate spinal canal stenosis. C6-C7: Broad-based disc protrusion which abuts thecal sac. No neuroforaminal narrowing or spinal stenosis. C7-T1: no neuroforaminal narrowing or spinal stenosis. Lumbar MRIThe spine alignment is anatomic. The vertebral body height is preserved. The cord signal is normal. The conus medullaris terminates at the level of T12-L1. Degenerative changes are specified by the intervertebral level as follows: L1-L2: Disc desiccation, diffuse bulging of disc with bilateral ligamentum flavum thickening results minimal spinal canal stenosis. There is a low signal intensity on T1 weighted image of the inferior endplate of L1 and superior endplate of L2 indicate Modic 1 changes.L2-L3: Diffuse bulging of disc in association with bilateral ligamentum flavum thickening result minimal to mild spinal canal stenosis. L3-L4: Diffuse bulging of disc with proliferation of the left side facet joint result minimal left side lateral recess stenosis. No spinal stenosis. L4-L5: There is broad-based disc protrusion towards left side neural foramen result left neural foraminal stenosis. L5-S1: Diffuse bulging of disc with bilateral neural foraminal narrowing.
1. Multilevel various degree degenerative changes of spinal column.2. In cervical spine, minimal to mild spinal canal stenosis at the level of C45 and C56. 3. In lumbar spine, minimal spinal canal stenosis at the level of L12 and L23. In addition, left side neuroforaminal and lateral recess narrowing at the level of L34 and L45.