Lower back and groin pain. Evaluate for lumbar spine compression/DJD/metastasis. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. No suspicious osseous lesions. No abnormal epidural or leptomeningeal enhancement. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: There is disc desiccation and a central disc protrusion. No spinal canal or neural foraminal stenosis.L4-L5: There is disc desiccation and a central disc protrusion. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. No evidence of metastatic disease in the lumbar spine.2. Mild degenerative changes with small disc protrusions at L3-L4 and L4-L5. There is no significant associated spinal canal or neural foraminal stenosis.