[arodriguez02]

Hello all, I have been experiencing bad lower back pain with radiating pain down my right leg for 3 months now.

Findings:
The conus medullaris terminates at T 12. marrow changes along the superior endplate of L4 likely related to degenrative disease. There is a distinct cortigated structure in this area question residual of old injury. Spinal cord demonstrates normal signal.
T11/12 visualized on the sagittal images only. mild narrowing and dessication. There appears to be a mild disc bulge without definate protrusion,central stenosis or narrowing.

L2/3: Disc is normal height and hydratin. Mild disc bulge. No protrusion, central stenosis or neuroforaminal narrowing. Mild facet changes are seen.

L3/4: There is mild diffuse disc bulge. There is mild disc desiccation. Marrow changes are noted along the superior endplate of L4, likely related to degenerative disease. Mild facet changes are noted bilaterally. No disc protrusion,central stenosis or neuroforaminal narrowing.

L4/5: Disc is normal in height and hydration. No protrusion,central stenosis or neuroforaminal narrowing. Mild facet changes are noted

L5/S1: There is diffuse diffuse disc bulge with superimposed 1.5 mm right para central disc protrusion. Mild facet changes are noted bilaterally. No central stenosis or neuroforaminal narrowing.

Impression:

1. 1.5 mm right para central protrusion at the L5/S1 level. This does not cause central stenosis or neuroforaminal narrowing.
2.Degenerative disc disease at the L3/4 level
3.Well cortigated structure along the entrance superior aspect of L4, which may be from old injury or represent accessory growth center.

Thank you.