MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

MRI EXAMINATION OF THE LUMBAR SPINE WITHOUT CONTRAST

FINDINGS:             Sagittal T1 and T2 and axial T1 and T2 weighted images were obtained on the Open MRI.  The examination is being re-dictated and the original dictation was lost.  There is slight desiccation of the disc from the L2 through S1 levels.  The conus and nerve roots within the thecal sac show no gross abnormality.

At the level of L1-L2, there is no significant disc herniation, central canal stenosis, or neuroforaminal narrowing.  There is somewhat congenitally small canal in the neuroforaminal regions.

At the levels of L2-L3 and L3-L4, there is slight indentation on the anterior thecal sac, but no significant central canal stenosis or neuroforaminal narrowing.

At the level of L4-L5, there is a mild diffuse disc herniation with indentation on the anterior thecal sac and bilateral neuroforaminal narrowing.

At the level of L5-S1, there is slight indentation on the anterior thecal sac, but no significant central canal stenosis.  There is indentation on the neuroforaminal regions slightly.  There is also slight indentation on the nerve roots within the thecal sac.  If there is any further concern, would recommend further evaluation as needed.

IMPRESSION:        Mild central canal stenosis at L4-L5 with slight bilateral neuroforaminal narrowing.  At L5-S1, there is central disc herniation with indentation on the anterior thecal sac and slight bilateral neuroforaminal narrowing.  If there is any further concern, would recommend further evaluation as needed.  Please see comments above.

XXXXXXXXX