EXAM: MR LUMBAR SPINE WITHOUT CONTRAST
CLINICAL INDICATION: Low back pain and left buttock pain
TECHNIQUE: MRI of the lumbar spine was performed without intravenous gadoliniumCOMPARISON: MRI lumbosacral spine 1/9/2013
FINDINGS:
Numbering: Last fully formed disc space is designated L5-S1
Discs: There is mild diminished signal intensity from the L4-5 and L5-S1 disk cartilages
Spinal Cord: Conus is normal and terminates at the T12-L1 level
T12-L1: No disc disease, spinal stenosis or foraminal stenosis.
L1-L2: No disc disease. spinal stenosis or foraminal stenosis
L2-L3: No disc disease. spinal stenosis or foraminal stenosis.
L3-L4: No disc disease. spinal stenosis or foraminal stenosis
L4-L5: Very mild bulge of the annulus fibrosis with midline annular fissure unchanged from the previous comparison study.
Canal stenosis is not present.
221: Midine annular fissure seen previously has resolved. There is a minimal bulge of the annulus fibrosis without canal
Other: There is a very small lower sacral Tarlov cyst probably of no signifeance.
IMPRESSION:
Mild persistent degenerative disk change at L4-5 and L5-s1 without canal or foramen stenosis. There is a persistent
midline annular fissure at L4.5
Evidence of lumbar disk herniation, spinal canal stenosis or neural foramen not found
