Low back pain for 3 years. Hyperextension. Evaluate for spondylolysis. There is no spondylolisthesis. The vertebral bone marrow signal is unremarkable, without discernible edema or sclerosis involving the pars interarticularis at any of the lumbar spine levels. There are unchanged mild disc bulges in the lumbar spine at L3-4, L4-5, and L5-S1 with slight encroachment upon the bilateral neural foramina, but no significant spinal canal stenosis. There is no fatty filum or dysraphism. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
1. No definite evidence of spondylolysis, within the limits of MRI.2. Unchanged mild disc bulges at L3-4, L4-5, and L5-S1, with mild bilateral L5-S1 neural foramen stenosis, but no significant spinal canal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.