55 years Male (DOB:10/9/1960)Reason: disc herniation History: sudden onset low back pain while liftingPROVIDER/ATTENDING NAME: MICHAEL A WARD BRIAN C. CALLENDER 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and some endplate reactive change at this level. The endplate reactive changes high signal on T1 and suppresses on fat suppressed imaging. There are some ligamentum flavum hypertrophy present predominantly in the left side at this level. There is some facet hypertrophy present on the left side predominantly at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level. There is some facet hypertrophy of a mild to moderate degree at this level associated with some ligamentum flavum hypertrophy.At L3-4 there is no significant compromise to spinal canal or neural foramina. There are some endplate reactive changes present of a chronic stage located on the left side at this level. There is a left far lateral disc protrusion present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There are some T1 hyperintense foci in the left half of the vertebral body at this level. On the associated with the endplates. These suppress on the fat suppressed images and most likely are degenerative in nature.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a fatty filum terminale present.
1.There are degenerative changes present in the lumbar spine without significant compromise to the spinal canal or exiting nerve roots.