left lower quadrant pain, back pain. 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 epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. . L4-L5: minimal disc dessication. diffuse bulging of disc with bilateral ligamentum flavum thickening results minimal to mild spinal stenosis at this level. no neuroforaminal narrowing or spinal stenosisL5-S1: diffuse bulging of disc, otherwise unremarkable.
1. Minimal to mild spinal stenosis at the level of L45 with diffuse bulging of disc.2. Diffuse bulging of disc at the level of L5S1.