Clinical question: Acute abnormality. Signs and symptoms: Left hip pain, likely radiculopathy. Nonenhanced lumbar MRI:There is normal anatomical alignment of the vertebral column.There is uniform T1 and T2 hyperintense signal intensity of vertebral column from mid L4 through the sacrum. This signal pattern is suggestive of prior radiation. Please correlate with history.T12-L1 is unremarkable.L1-L2 demonstrate moderate disc disease and loss of disc height, mild bilateral ligamentum flavum hypertrophy and mild facet disease. No spinal stenosis or neural foraminal compromise.L2-L3 demonstrate mild degenerative changes without spinal stenosis or neural foraminal compromise.L3-L4 demonstrate mild disc disease and loss of disc height, moderate left-sided ligamentum flavum and facet hypertrophy and to a lesser degree on the left. Constellation of changes results in mild central spinal stenosis and moderate right neural foraminal compromise.L4-L5 demonstrate advanced disc disease and loss of disc height, moderate right and mild left ligamentum flavum hypertrophy and mild facet disease. Constellation of changes results in moderate central spinal stenosis and moderate right neural foraminal compromise.L5-S1 demonstrate mild disc desiccation without loss of disc height, moderate bilateral facet hypertrophy (L>R) and moderate bilateral ligamentum flavum hypertrophy. No spinal stenosis however significant left and moderate to significant right neural foraminal compromise is present.Partially visualized SI joints demonstrate no significant abnormality.No evidence of perispinal soft tissue abnormalities.
1.Degenerative changes at L3-L4 results in mild central spinal stenosis and moderate right neural foraminal compromise.2.Degenerative changes at L4-L5 with resultant moderate central spinal stenosis and moderate right neural foraminal compromise as detailed.3.Degenerative changes at L5/S1 with resultant significant left and moderate right neural foraminal compromise and no central spinal stenosis.4.Please review detailed report per level above.