Back pain, fevers, neutropenia and history of multiple LPs. 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.There is no evidence of abnormal enhancement, cord compression or mass. 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: Minimal bulging of disc otherwise unremarkableL4-L5: Diffuse urging of disc with mild disc desiccation, minimal spinal stenosis without evidence of bilateral neural foraminal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
No evidence of abnormal enhancement.Disc desiccation with diffuse disc bulging at the level of L4-5 as described above.Otherwise unremarkable.