Low back pain and radicular symptoms Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below:L1-L2: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L3-L4: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L4-L5: Dorsal annular fissure with minimal central disk protrusion. No spinal canal or neural foraminal stenosis.L5-S1: Dorsal annular fissure and central disk protrusion. There is partial effacement of the subarticular zones, left greater than right. No central spinal canal stenosis. Mild bilateral neural foraminal stenosis. Mild bilateral facet arthropathy.Paraspinous soft tissues are within normal limits. There is an approximately 3.2 x 2.5 cm lesion involving the uterine wall with low T1 and T2 signal.
1. Mild degenerative changes with small disk protrusions at L4-L5 and L5-S1. There is effacement of the subarticular zone at the L5-S1 level which contacts the descending left S1 nerve root. There is no significant central canal stenosis at any level. There is mild bilateral neural foraminal narrowing at L5-S1; otherwise, no significant neural foraminal stenosis. 2. Mild facet arthropathy at L5-S1 which may be contributing to patient's low back pain.3. Partially visualized 3.2 x 2.5 cm lesion involving the uterus may represent a fibroid, consider ultrasound for further evaluation as clinically indicated. 