Low back pain [M54.5], Reason for Study: ^Reason: eval for pathology, c/o midline/paraspinal pain History: midline/paraspinal pain Thoracic spine MRIThere is normal thoracic kyphosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing, cord compression, or myelopathy. The conus medullaris terminates at the T12-L1 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.Lumbar spine MRIThere is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: Minimal bulging disc. No neuroforaminal narrowing or spinal stenosis. L5-S1: Minimal bulging disc. No neuroforaminal narrowing or spinal stenosis.
1. Minimal bulging of disc facet the level of L4-5 and L5-S1.2. No evidence of neuroforaminal stenosis or spinal stenosis on thoracolumbar spine.3. Spinal cord signal intensity is normal.