39-year-old female with chronic pain over the left ischium. Evaluate. Note is made of a subcentimeter focus of increased signal abnormality within the proximal femoral metadiaphysis likely representing an enchondroma. Otherwise no bone marrow signal abnormality is identified. The imaged musculature is normal in appearance. Note is made of low signal intensity foci within the uterus likely representing fibroids. Although this examination was not protocoled for evaluation of the lumbosacral spine, there is moderate to severe degenerative disc disease affecting the level of L5/S1 with a disc bulge at the level of L5/ S1 resulting in apparent narrowing of the left neural foramen (image 33; series 1001).
Moderate to severe degenerative disc disease affects the imaged lower lumbosacral spine with an apparent disc bulge resulting in left neural foramen narrowing at the level of L5/S1 as described above. Further evaluation with a dedicated lumbar spine MRI examination could be considered if clinically indicated.