Reason: back pain, sp fall, evaluate for disc problem History: pain. 31 year old patient with lower back pain. She does have a left breast marker. 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.At L4-5 there is a left perimedian disk extrusion present with the disk material extending slightly behind the adjacent endplates. There is a some encroachment of the nerve roots of the left lateral recess resulting. There is mild loss of disk space height and disk desiccation at this level. There is mild ligamentum flavum hypertrophy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge and disk desiccation at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There is a left paramedian disk protrusion present at L4-5 which encroaches the nerve roots of the left lateral recess increta mild degree of spinal stenosis.