Low back pain [M54.5], Reason for Study: ^Reason: lumbar pain concerning for spondylosis vs HNP History: lumbago For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is a focal endplate defects on the at the level of T12-L1 disc. Specifically, inferior endplate of T12 and superior endplate of L1 shows smooth margin defect with associated bone marrow edema. This finding suggests acute Schmorl's node. This can be symptomatic.Overall, T1 images of lumbar vertebrae, sacrum and bilateral iliac bones show relatively low signal intensity. However, since those signal intensities are brighter than those of intervertebral discs and adjacent muscle, these relatively lower T1 signal intensity can be seen as within normal range. 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 intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.
1. Acute Schmorl's node, at the level of T12-L1 with surrounding edema.2. Otherwise no remarkable finding.