Low back pain with right-sided radicular pain, status post motor vehicle collision. There is degenerative mild grade 1 anterolisthesis of L4 on L5. The vertebral column alignment is otherwise within normal limits. There is a prominent Schmorl's node in the superior endplate of L3 without significant edema, suggesting that this is chronic lesion. The vertebral body heights are otherwise preserved. The vertebral bone marrow signal is unremarkable. There is prominent epidural fat distally, especially at the L5-S1 level. There is a perineural cyst that measures up to 15 mm to the right of the midline at the level of S2. The imaged portion of the spinal cord displays normal signal and morphology. There is multilevel facet arthropathy most prominent at L4-L5. There is a mild disc bulge at L2-3, without significant spinal canal or neural foraminal stenosis. There is mild spinal canal stenosis at L4-5 and neural foraminal narrowing related to the retrolisthesis, pseudobulge, and marked facet arthropathy. There is a lobulated contour of the uterus with multiple low T1 and T2 signal tumors, measuring up to 2.6 cm.
1. Degenerative lumbar spondylosis predominantly at the L4-5 level with grade 1 degenerative anterolisthesis, mild spinal canal stenosis, and mild bilateral neural foraminal narrowing.2. Multiple probable uterine fibroids. Correlation with dedicated ultrasound examination may be useful.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.