Lumbago with sciatica, right side. Lower back pain after injury one month ago. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits without evidence of fracture. Small Schmorl's nodes are noted involving the endplates at the L1 through L4 vertebral bodies. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position at the upper L1 level.There is evidence of epidural lipomatosis with mild to moderate degree of spinal canal narrowing particularly at the L2-L3 and L3-L4 levels. There are mild degenerative changes including disc desiccation with small left paracentral protrusion at the left L5-S1 level without associated spinal canal or neural foraminal stenosis. Remainder of the lumbar discs are unremarkable. There is also mild facet arthropathy, relatively more prominent in the lower lumbar spine. No evidence of spondylolysis within the limits of MRI. Paraspinous soft tissues are unremarkable.
1. Small central disc protrusion at the L5-S1 level without associated spinal canal or neural foraminal stenosis. Neural foramina in the remainder of the lumbar spine are also patent.2. Evidence of epidural lipomatosis which narrows the lumbar spinal canal to a mild to moderate degree, particularly at the L2-L3 and L3-L4 levels.3. Additional findings including small multilevel Schmorl's nodes and mild facet arthropathy. No evidence of edema or height loss in the vertebral bodies to suggest recent trauma.