Low back pain [M54.5], Reason for Study: ^Reason: 62 yo female with back pain that radiates down back; please evaluate for herniated disc and or abnormalities History: back pain Thoracic MRIThere is normal thoracic kyphosis and 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 conus medullaris terminates at the L1 level. Degenerative changes of lumbar spine are specified by the intervertebral level as follows: T12-L1: mild disc dessication, no neuroforaminal narrowing or spinal stenosis. L1-L2: mild disc dessication, no neuroforaminal narrowing or spinal stenosis. About 8mm sized right renal cyst is seen.L2-L3: mild disc dessication, diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L3-L4: mild disc dessication, there is focal disc protrusion associated with broad based disc bulging which abuts thecal sac. no neuroforaminal narrowing or spinal stenosis. On Gad enhanced scan, bilateral facet joints show peripheral enhancement indicating possible inflammatory changes.L4-L5: mild disc dessication with decreased disc height, no neuroforaminal narrowing or spinal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. No significant spinal canal stenosis. No neuroforaminal stenosis.2. Broad based disc bulging with central focal protrusion of disc at the level of L34 without spinal canal stenosis.3. Possible inflammatory changes of bilateral L34 facet joints.