Female, 28 years old, with one year of low back pain and right-sided sciatica. Assess for disc herniation. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is detected.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are detected.The intervertebral discs are preserved. No significant disc bulge or herniation is detected. No significant spinal canal or foraminal stenosis is seen. At most, there may be very mild facet arthropathy at L4-5 and L5-S1.Incidental note is made of a multicystic left ovary. The right ovary is perhaps partially visualized and may be cystic as well.
1.Mild facet arthropathy is seen at L4-5 and L5-S1. No significant disc bulge or herniation is evident. No spinal canal or foraminal stenosis is detected.2.The partially visualized ovaries contain multiple small cysts, more than what would be considered normal for physiologic cysts. Dedicated pelvic imaging by ultrasound or MRI should be considered.