Back pain, more left side, was told had lumbar fracture Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits without evidence of compression fracture. There is grade 1 retrolisthesis of L5 on S1. Alignment of the lumbar spine is otherwise preserved. Bone marrow signal is benign. The conus medullaris is normal in position. There is developmental narrowing of the lumbar spinal canal with superimposed degenerative changes including multilevel disc desiccation and moderate loss of disc height at the L5-S1 level. Individual levels as described below:L1-L2: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L2-L3: There is a right paracentral disc extrusion, ligamentum flavum thickening, and mild facet arthropathy. There is effacement of the right lateral recess. There is mild central canal stenosis. No significant neural foraminal stenosis.L3-L4: There is a central/left paracentral disc protrusion, ligamentum flavum thickening, and bilateral facet arthropathy. There is moderate to severe spinal canal stenosis at this level. There is mild bilateral neural foraminal narrowing. L4-L5: There is disc bulge with minimal central protrusion. There is bilateral facet arthropathy and ligamentum flavum thickening. There is moderate spinal canal stenosis at this level. There is also mild to moderate bilateral neural foraminal stenosis.L5-S1: Mild retrolisthesis with mild disc bulge. There is no significant central canal stenosis. There is moderate bilateral neural foraminal stenosis. Bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. No appreciable fracture is evident by MRI, as questioned. If clinically indicated CT may be considered to better assess for potential small fractures.2. There is developmental narrowing of the lumbar spinal canal with superimposed degenerative changes throughout the lumbar spine. There is moderate to severe spinal canal stenosis at L3-L4 and moderate spinal canal stenosis at L4-L5. There is also moderate bilateral neural foraminal stenosis at L5-S1 which may be impinging on the exiting L5 nerve roots. Please see additional details above.