Back pain. Elevated ESR/CRP 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 conus medullaris terminates at the L1-L2 level.There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: T12-L1: There is a broad-based disc protrusion central to right which abuts thecal sac. Disc desiccation is also noted. No neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: no neuroforaminal narrowing or spinal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.There are multiple renal cysts is on bilateral kidneys. Right-sided lesion is about 4.5 mm left side lesion is the smallest one is about 2 mm the the largest one on the inferior pole is about 31.6 mm x 24.3 mm.
Focal disc protrusion, at the level of T12-L1 central to right abuts thecal sac as described above.Multiple bilateral renal cysts as described above.