Diagnosis: LumbagoClinical question: low back painSigns and Symptoms: low back pain There is a prior MRI of the lumbar spine from 7/27/2012 and cervical and thoracic from 8/7/2012. Looking at these it appears that there are 4 lumbar type vertebrae present with hypoplastic ribs at T12.Lumbar vertebral bodies are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.At L4-S1 there is marked bilateral facet and ligamentum flavum hypertrophy associated with loss of disc height, disc desiccation and diffuse disc bulge as well as partial effacement of the fat at the lateral recess bilaterally. Overall this remains stable when compared to the 7/10/2014 exam. The exiting nerve roots within the neural foramina are surrounded by fat. Disc material abuts the exiting nerve roots as they exit the neural foramina at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.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.Parapelvic cysts are present in the kidneys bilaterally. This was also present on the prior exam.
1.Please note that there are only 4 lumbar-type vertebrae present when counting from C2 inferiorly. As a result the lumbosacral junction is labeled as L4-S1.2.Degenerative changes are present in the lower lumbar spine with mild anterior subluxation of L4 on S1 and mild to moderate spinal stenosis at L4-S1 where there is encroachment of nerve roots (L5 nerve roots) at the lateral recess bilaterally. This is stable when compared to the previous exam.