14-year-old female with low back pain x 6 months plus sciatica. Evaluate for sclerosis/healing of bilateral spondylolyses. Lumbar spine:There is minimal straightening of the lumbar spine which may be secondary to positioning for examination. Attenuation and morphology of the vertebral bodies and intervertebral disk spaces is within normal limits. The pre-and paravertebral soft tissues are within normal limits. L1-2: within normal limits without central or neuroforaminal narrowing.L2-3: within normal limits without central or neuroforaminal narrowing.L3-4: within normal limits without central or neuroforaminal narrowing.L4-5: within normal limits without central or neuroforaminal narrowing.L5-S1: within normal limits without central or neuroforaminal narrowing. There is a mild amount of sclerosis at the L5-S1 bilateral pars defect without evidence of fusion. No evidence of spondylo-listhesis.Limited abdominal imaging is within normal limits.
1. Spondylolysis of L5. Mild bilateral sclerosis involving the inferior L5 facet compatible with pars defect without evidence of fusion.2. No evidence of spondylo-listhesis.