backpain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is focal minimal to mild bulging of L34 intervertebral disc toward left side proximal neural canal just after the isthmus. There is no definitive imaging evidence of direct nerve root compression from this focal disc bulging.Diffuse bulging of disc with minimal ligamentum flavum thickening were seen at the level of L45. No definitive evidence of spinal stenosis at this level. 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 L1-2 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. 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: Focal disc bulging toward left side neural foramen without evidence of direct nerve root compression. no neuroforaminal narrowing or spinal stenosis. L4-L5: diffuse bulging of disc without evidence of spinal canal stenosis. no neuroforaminal narrowing or spinal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Focal bulging of disc toward left side neural foramen without direct compression of the nerve root at the level of L34.2. Diffuse bulging of disc at the level of L45.3. Otherwise no remarkable finding.