Diagnosis: Abdominal pain, other specified site. Backache, unspecifiedClinical question: evaluate for lumbar pathology for lower back pain and left sided abdominal painSigns and Symptoms: left sided pain and back pain 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. There are perineural cysts present at the S2-S3 level within the sacral spinal canal eccentric towards the right side. There is some mild disc desiccation present.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is some loss of disc space height, disc desiccation and a diffuse disc bulge at this level associated with endplate reactive changes which are right on T2 and bright on T1. The endplate reactive changes are eccentric towards the right side.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild loss of disc space height at this level associated with a very minor disc bulge.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are mild degenerative changes present in the lumbar spine without significant compromise to spinal canal or exiting nerve roots.