There is
loss of the normal lumbar lordosis consistent with muscular spasm. There is
dextroscoliosis of the lumbar spine centered at the L2 level. No acute fracture or
subluxation.
Normal vertebral body heights. Normal marrow signal of the vertebrae. The
conus medullaris terminates normally at mid L1 level. There is a questionable
3.1 cm in diameter left ovarian cyst. This is seen only on the scout image.
Level by level disease is present as follows:
T12-L1: Normal.
L1-L2: Normal.
L2-L3: There is a broad-based central disc protrusion and bilateral facet
arthropathy. There is a superimposed anterior disc protrusion. There is no
central canal stenosis, lateral recess stenosis or neuroforaminal narrowing.
L3-L4: There is a broad-based central disc protrusion and bilateral facet
arthropathy. There is a superimposed anterior disc protrusion. There is no central
canal stenosis or neuroforaminal narrowing. There is mild lateral recess stenosis
bilaterally.
L4-L5: There is a broad-based right lateral recess and right foraminal disc
protrusion and bilateral facet arthropathy. There is a superimposed anterior disc
protrusion. There is no central canal stenosis. There is severe lateral recess
stenosis and neuroforaminal narrowing on the right, with posterior medial
displacement of the right L5 nerve root sleeve
L5-S1: There is a broad-based central disc protrusion and bilateral facet
arthropathy. There is a superimposed anterior disc protrusion. There is no central
canal stenosis, lateral recess stenosis or neuroforaminal narrowing.
IMPRESSION :
1. DDD, L2-3 through L5-S1 without central canal stenosis.
2. There is lateral recess stenosis bilaterally at L3–4 and on the right at L4-5.
3. Lumbar dextroscoliosis.
4. Lumbar spasm.