68 years Female (DOB:4/25/1948)Reason: 68 yo F acute on chronic lower back pain radiating to her stomach, known lumbar spondylosis; assess for acute lower back pathology History: see aboveReferring Attending: 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. No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with endplate reactive change. The endplate reactive changes bright on T1. There is no significant compromise to the spinal canal or exiting nerve roots at this level. At L4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with endplate reactive change. The endplate reactive changes bright on T1. There is no significant compromise to the spinal canal or exiting nerve roots at this level. There is some mild ligamentum flavum thickening this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a minor disc bulge present at this level. There is some mild ligamentum flavum thickening this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is a minor disc bulge present at this level.
There are some degenerative changes present predominantly in the form of disc disease especially in the lower lumbar spine without significant compromise to spinal canal or neural foramina.