29 years Male (DOB:2/8/1987)Reason: MRI lumbar spine History: back pain PROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. There is a transitional vertebra present which for the purpose of this exam will be labeled as L5. As a result there is partial sacralization of the L5 vertebra on the left side.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is loss of disc space height, disc desiccation as well as a broad-based right paramedian disc protrusion which impresses on the ventral to the thecal sac and mildly encroaches on the nerve roots at the lateral recess bilaterally.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and some endplate reactive change at this level predominantly on the right side where there is a Schmorl's node along the superior endplate of L4.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is some disc desiccation and Schmorl's nodes at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are degenerative changes present in the lumbar spine with a mild degree of spinal stenosis at L4-5 where there is some encroachment of nerve roots at lateral recess is bilaterally worse on the right than the left side.