This is the latest Lumbar MRI
Exam: MRI of the lumbar spine dated 18 May 2011.
Clinical Indication: Patient having chronic sharp midback pain to low back pain
for two years. No known injury. No history of cancer or surgery.
Technique: Standard images were obtained on a 3.0 Tesla Phillips MR scanner.
Findings: There is a possible cyst on the posterolateral cortex of the left
kidney. There is an edema pattern seen in the L4 and L5 vertebrae around the
disc space. This probably represents degenerative disc disease. Edema pattern
endplate change is seen at the L5-S1 level on the left.
L1-L2: There is diffuse disc bulge. Degenerative facet disease is seen.
L2-L3: Diffuse disc bulge is seen. Degenerative changes are seen in the facet
joints. The neural foramen are open.
L3-L4: Diffuse disc bulge is seen. Hypertrophic facet changes are evident. The
neural foramen is mildly narrowed on the left.
L4-L5: There is diffuse disc bulge. Hypertrophic facet changes are seen. The
neural foramen are narrowed mildly bilaterally, worse on the right than on the
L5-S1: There is diffuse disc bulge with left sided dominance. There is severe
narrowing of the left neural foramen with near obliteration of the perineural
fat. Degenerative change is seen in the facet joints. There is mild narrowing of
the neural foramen on the right. Hypertrophic facet changes are seen.
Impression: 1. There is broad based left preforaminal and lateral disc bulge with moderate
severe narrowing of the neural foramen on the left.
2. There is prominence of the ligamentum flavum at the L5-S1 level, it measures
3. Degenerative facet disease.
4. Edema endplate change is seen at L4-5 and L5-S1.
5. Possible cyst on the left kidney, this is incompletely evaluated on this
Thank you for you help. I appreciate your help and understanding.