58 year-old female with back pain radiating to lower abdomen. Reason: look for high lumbar radiculopathy. Per EMR: DJD of C-spine. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There is mild loss of disc space at L4-L5 and L5-S1. There are degenerative marrow changes at L4-L5, but marrow signal is otherwise unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology with conus termination at mid-L1. The paravertebral soft tissues are unremarkable.Degenerative changes are seen in the lumbar spine as described below:T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-L5: There is no significant compromise to spinal canal or neural foramina. There is a small central/left paracentral annular fissure along a mild diffuse posterior disc bulge that abuts the bilateral descending L5 nerve roots and causes mild flattening of the ventral thecal sac. There is mild thickening of the ligamentum flavum and hypertrophy of the facet joints. There is mild bilateral foraminal narrowing, likely due to loss of disc height.L5-S1: There is no significant compromise to spinal canal or neural foramina.There is enlargement of the visualized portion of the uterus likely relating to history of known fibroids.
Mild degenerative changes at L4-L5 with disc bulge abutting bilateral L5 descending nerve roots.