41 years Female (DOB:2/27/1975)Reason: low back pain History: low back painPROVIDER/ATTENDING NAME: JAVAD HEKMATPANAH JAVAD HEKMATPANAH Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is loss of disc space height and endplate reactive changes. The endplate reactive changes are bright on T1 and low signal on T2 STIR. There is a broad-based disc protrusion present at this level with some associated partial effacement of fat at the right lateral recess. There is also some mild narrowing of the right neural foramen at this level. Relative to the prior exam this has not significantly changed. Relative to the 11/12/2009 exam this disc extrusion appears to have regressed.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation present at this level. There is a small broad-based central disc protrusion at this level. This central disc protrusion is minimally changed since the prior exam.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are degenerative changes present in the lower lumbar spine without significant compromise to the spinal canal or exiting nerve roots. A broad-based disc protrusion at L4-5 affecting the right lateral recess and right neural foramen as remained stable compared to the prior exam from 2011.