Past medical history of a seizure, who presents with right lower extremity pain, numbness and decreased sensation, evaluate for cord compression. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord displays normal signal characteristics and morphology. There is no compromise of the spinal cord. There is a disc protrusion at L5-S1 with resultant considerable spinal canal stenosis and associated narrowing of the disc space. There is also high T2 signal in the L5-S1 interspinous space, which may indicated Baastrup disease. There is mild straightening of the lumbar spine alignment in the sagittal plane, but no spondylolisthesis. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. There is slight disc bulging at L3-4 and L4-5. The paravertebral soft tissues are unremarkable.
1. No evidence of spinal cord compression. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. 2. A disc protrusion at L5-S1 results in considerable spinal canal stenosis. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of the spine and a dedicated lumbar spine MRI can be considered if clinically indicated.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.