62-year-old female with right lumbar radicular pain. There is 8 mm of anterolisthesis at L4-L5. There are mild multilevel Schmorl's nodes; otherwise, the vertebral body heights are intact. There is multilevel disc desiccation without significant disc space loss. No abnormal marrow signal. No abnormal signal within the distal cord and conus which ends at L1-L2. At L3-L4, there is mild ligamentum flavum hypertrophy without significant spinal or neural foramen stenosis. At L4-L5, there is a disc bulge, asymmetric to the left, moderate ligamentum flavum hypertrophy, moderate central canal stenosis, and mild bilateral neural foramen stenosis. At L5-S1, there is a mild disc bulge with small annular fissure, mild ligamentum flavum hypertrophy, and mild bilateral neural foraminal stenosis without significant spinal stenosis. There are multiple T2 hyperintense foci on the myometrium of the uterus.
1. Grade 1 anterolisthesis at L4-L5 and mild degenerative spondylosis in the lower lumbar spine.2. Findings suggestive of adenomyosis. Dedicated pelvic ultrasound may be useful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.