Diagnosis: Dorsalgia, unspecifiedSigns and Symptoms: Back pain Five lumbar type vertebral bodies are presumed to be present. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and diffuse disc bulge present at this level. There is mild narrowing of the neural foramina at this level. Some acute endplate reactive changes are present at this levelAt L4-5 there is no significant compromise to spinal canal or neural foramina. There is moderate facet hypertrophy at this level. There is loss of disc space height, Schmorl's nodes and diffuse disc bulge at this level associated with mild anterior subluxation of L4 on L5. There is narrowing of the neural foramina bilaterally at this level with partial effacement of the fat surrounding the right-sided exiting nerve roots. The exiting nerve roots within the left neural foramen are surrounded by fat. There is effacement of the fat at the right lateral recess more than the left lateral recess at this level. Overall there is a mild degree of spinal stenosis at this level. A CT of the abdomen from 4/13/2010 indicates that some of these findings were present at that time.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is some loss of disc space height, disc desiccation and diffuse disc bulge at this level . There are Schmorl's nodes present at this level as well as some acute endplate reactive change associated with the Schmorl's nodes.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are multilevel degenerative changes present in the lower lumbar spine which appear to be worse at L4-5 where there is mild subluxation and a mild degree of spinal stenosis with some encroachment of the nerve roots of the right lateral recess and mild encroachment of the nerve roots at the right neural foramen.