Reason: rule out abscess History: pain, no onset reason identified 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. No abnormal enhancing lesions are appreciated in the lumbar spine. There is multilevel disk desiccation present.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild of this desiccation and a disk bulge at this level. There is a small amount of patchy enhancement present along the left lateral aspect of the endplates and immediately adjacent disk . There is partial effacement of fat planes adjacent to the left-sided exiting nerve root after it exits the neural foramen which is associated with subtle contrast enhancement. There is mild loss of disk space height at this level associated with disk desiccation.At L4-5 there is no significant compromise to spinal canal or neural foramina. There are endplate reactive changes present associated with loss of disk space height compared there is a increased T1 signal on the adjacent vertebral bodies which suppresses on the STIR images. There is moderate loss of disk space height at this level associated with disk desiccation. There is a small amount of patchy enhancement present along the posterior aspect of the L4-5 disk.At L3-4 there is no significant compromise to spinal canal or neural foramina. Are endplate reactive changes here as which are bright signal on T1. There is mild loss of disk space height at this level associated with disk desiccationAt 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 are acute/subacute inflammatory changes present along the left lateral aspect of the endplates at L5-S1 superimposed on chronic degenerative changes. The cause could very well be acute/subacute degenerative change. The possibility that this represents a very early infection cannot be excluded. These inflammatory changes abut the left-sided exiting nerve root after it exits the neural foramen.2.There are acute/subacute inflammatory changes present along the posterior aspect of the L4-5 disk superimposed on chronic degenerative changes. The cause could very well be acute/subacute degenerative change. The possibility that this represents a very early infection cannot be excluded. 3.There are chronic degenerative changes present at L3-4, L4-5 and L5-S1.4.No compromise to lumbar spinal canal or neural foramina.