Male, 31 years old, with backache. Assess for herniated disk. Five fully lumbar type vertebral bodies are present. The S1 vertebral body demonstrates a transitional morphology.Vertebral body morphology is within normal limits. No pathologic marrow replacement or evidence of marrow edema is seen. No abnormal marrow enhancement is detected.The visualized spinal cord, conus and cauda equina are within normal limits. No pathologic intrathecal enhancement is seen.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L4-5: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L5-S1: Moderate facet hypertrophy. Mild bulging disk. Left subarticular/foraminal protrusion. Mild effacement the left lateral recess. Moderate to severe left neuroforaminal narrowing. The right neural foramen is patent.
1.A left subarticular/foraminal disk protrusion is evident at L5 S1. This finding, along with moderate facet hypertrophy, results in moderate to severe narrowing of the left neural foramen at this level. No significant generalized spinal canal stenosis is seen.2.Mild degenerative findings at additional levels as above.