Clinical question: Back strain 7 7-2015. Signs and symptoms: Rule out disc disorder or lumbar stenosis. Nonenhanced lumbar MRI:There is normal signal intensity and clinical alignment of vertebral column.There is no detectable posttraumatic findings of spine or the perispinal soft tissues.Unremarkable lower most visualized thoracic spine and thoracic cord from T10 inferiorly.T12-L1, L1-L2 and L2-L3 levels are unremarkable.L3-L4 demonstrate mild symmetrical bilateral ligamentum flavum hypertrophy and minimal bilateral facet effusion and unremarkable otherwise.L4-L5 is unremarkable.L5-S1 demonstrate mild disc desiccation and loss of disc height, a central shallow broad-based disc protrusion is noted at this level (axial T2 series 801 image 6 and sagittal T2 and T2 STIR images 8 and 9). No spinal stenosis, neural foraminal or lateral recesses compromise.
1.Mild degenerative changes at L5-S1 and a small shallow central disc protrusion without spinal stenosis, neural foraminal or lateral recess compromise as detailed.2.Unremarkable nonenhanced lumbar MRI otherwise.3.Incidental note is made of a limited view of a loculated cystic lesion in the midline and to the right in the pelvis and follow-up with dedicated imaging is recommended. Findings could represent adnexal cyst.