39 years Female (DOB:2/17/1977)Reason: back pain- rule out herniated disc History: pain increases when supine- could be a posterior herniated discPROVIDER/ATTENDING NAME: MINDY ALYCE SCHWARTZ MINDY ALYCE SCHWARTZ Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present this level associated with disc desiccation and narrowing of the neural foramina bilaterally with mild encroachment of the right-sided exiting nerve roots. This appears stable and compared to the previous exam.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level associated with chronic appearing endplate reactive changes which are stable compared to the previous exam.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a T1 hyperintense lesion within the L2 vertebral body and another one within the L1 vertebral body which most likely represent vertebral body hemangiomas. These suppress on the T2 inversion recovery images.
There are degenerative changes present in the lower lumbar spine mainly in the form of disc degeneration which are relatively stable and compared to the previous exam from 2013 without significant compromise to spinal canal or exiting nerve roots. There is mild encroachment of the nerve roots in the right neural foramen at L5-S1.