MRI LUMBAR SPINE W/O CONTRAST- 47

Findings:

There is a staightening of the normal lordosis. There are hemangiomas at L3 and L5 vertebral bodies, otherwise the bone marrow signal are normal. The conus medullaris and cauda equina have a normal appearance.

Ther are multilevel disk degenerative changeswith the disk space narrowing and the disk osteophte complexes. There is not central stenosis at any level.

T12-L1: Mild disc bulge without central or neural foramen stenosis.

L1-L2: Mild diffuse disc bulge with mild right neural foramen narrowing.

L2-L3: Mild diffuse disc bulge with mild bilateral neural foramen narrowing.

L3-L4: Mild diffuse disc bulge with moderate bilateral neural foramen narrowing.

L4-L5: Mild diffuse disc bulge with moderate bilateral neural foramen narrowing. Note of fatty end plate changes.

L5-S1: Mild diffuse disc bulge with moderate bilateral neural foramen narrowing. Note of fatty end plate changes.

Multiple small retroperitoneal lymph nodes are seen.

IMPRESSION:

1. Multilevel disk degenerative changes with disk space narrowing and disk osteophyte complexes with moderate bilateral neural foramen narrowing at L4/5 and L5/S1.

2. Multiple small retroperitoneal lymph nodes are seen . CT of the abdomen is recommended for further exaluation to exclude neoplasm.