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Examination: MRI OF THE LUMBAR SPINE

CLINICAL HISTORY: 51-year-old female with a history of back pain with right hip and buttocks pain.

MRI TECHNIQUE: Sagittal and axial T1 and T2 images of the lumbar spine were obtained on a 0.2 Tesla open MRI.

MRI FINDINGS: Vertebral body height and signal is normal with normal alignment. There is no destructive bony lesion. Conus medullaris terminates at L1 and is normal in appearance. The paraspinal soft tissues are unremarkable.

T12/L1: Disc height and signal are within normal limits. There is no disc contour abnormality, central canal or neural foraminal narrowing. Axial images are not submitted.

L1/L2: Disc height and signal are within normal limits. There is no disc contour abnormality, central canal or neural foraminal narrowing. Axial images are not submitted.

L2/L3: Disc height is within normal limits. Disc hydration is mildly decreased. There is mild disc bulge producing mild bilateral neural foraminal narrowing. There is no significant central canal narrowing. The facet joints are within normal limits.

L3/L4: Disc height and signal are within normal limits. There is mild disc bulge with mild bilateral facet and ligamentum flavum hypertrophy producing mild left neural foraminal narrowing. There is no significant central canal narrowing. Anterior and posterior osteophytes are noted.

L4/L5: Disc height and signal are mildly decreased. There is diffuse disc bulge with mild bilateral facet and ligamentum flavum hypertrophy producing mild central canal and mild to moderate bilateral neural foraminal narrowing. Anterior and posterior osteophytes are noted.

L5/S1: Disc height and signal are mildly decreased. There is central disc protrusion with mild bilateral facet hypertrophy producing mild to moderate central canal narrowing. There is no significant neural foraminal narrowing. There is a focus of high T2 signal at the posterior aspect of the disc which is a high intensity zone representing an annular fissure.

There is small focal depression at the superior endplate of L3 anteriorly, consistent with limbus vertebra.
A large 7x7.5x9 cm heterogeneous intensity mass is seen in relation to the uterine fundus likely representing a leiomyoma. A 2.3x2.9 cm cyst is seen in left ovary

IMPRESSION:


	Mild disc bulge at L2/3 producing mild bilateral neural foraminal narrowing.
	Mild disc bulge at L3/4 with mild bilateral facet and ligamentum flavum hypertrophy producing mild left neural foraminal narrowing.
	Diffuse disc bulge at L4/5 with mild bilateral facet and ligamentum flavum hypertrophy producing mild central canal and mild to moderate bilateral neural foraminal narrowing.
	Central disc protrusion at L5/S1 with mild bilateral facet hypertrophy producing mild to moderate central canal narrowing.
	Large heterogeneous intensity mass in relation to the uterine fundus likely represents a leiomyoma. Recommend clinical correlation and further evaluation with ultrasound of the pelvis.