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This is a copy of the report, pain in lower right side through groin/ hip and down the right leg to the knee, thanks in advance
MR OF THE LUMBAR SPINE WITHOUT CONTRAST

HISTORY: Chronic low back pain and lumbar radiculopathy.

Technique: MR of the lumber spine was performed without contrast utilizing the standard
departmental protocol.

COMPARISON: None.

FINDINGS: Conus medullaris terminates at the mid L2 level, and demonstrates normal signal.
There is mild thoracolumbar dextroscoliosis. There is no abnormal thickening or clumping of the
cauda equina nerve roots. Vertebral body heights are normal.

There is disc space narrowing, mild diffuse disc bulging, and anterior endplate spurring at
T10-T11, without visible nerve root impingement.

T12-L1: No focal disc herniation or significant stenoses.

L1-L2: No disc herniation or appreciable stenoses.

L2-L3: There is minimal diffuse disc bulging and mild bilateral facet hypertrophy, resulting in
mild spinal canal stenosis and mild bilateral neuroforaminal stenoses.

L3-L4: A Schmorl's node is seen within the upper anterior L4 endplate. There is endplate
spurring, disc space narrowing, diffuse disc bulging, disc desiccation, and mild bilateral
facet hypertrophy, resulting in mild spinal canal stenosis and mild bilateral neuroforaminal
stenoses. Modic marrow degenerative changes are noted within the adjacent endplates.

L4-L5: There is grade I anterolisthesis measuring 3 mm, resulting in intervertebral disc
uncovering. There is mild disc space narrowing, disc desiccation, diffuse disc bulging,
bilateral facet hypertrophy, and trace fluid in the left facet joint. There is mild spinal
canal stenosis and mild bilateral neuroforaminal stenoses.

L5-S1: There is mild diffuse disc bulging and mild bilateral facet hypertrophy, without
significant spinal canal or neuroforaminal stenoses. A T2 hyperintense anterior midline annular
tear is noted.

Impression
IMPRESSION: Multilevel degenerative changes detailed above most pronounced at L3-L4 and L4-L5.
Small anterior L5-S1 annular tear. No nerve root impingement seen.





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