Back pain, frequent muscle cramps. For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal 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 epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. There is about 3 mm sized well-circumscribed cystic lesion on posterior aspect of left facet joint. This may represent exophytic left facet synovial cyst or benign intramuscular cyst.L4-L5: no neuroforaminal narrowing or spinal stenosis. Mild disc desiccation with diffuse disc bulging. In particular, there is a broad-based disc bulging toward left side lateral recess, however, no blood compression is not evident.L5-S1: no neuroforaminal narrowing or spinal stenosis.
Disc desiccation with a diffuse disc bulging associated with focal bulging towards left lateral recess without evidence of nerve root compression at the level of L4-5 as described above.Otherwise unremarkable.