Do I Have Lumbar Disc Bulge at L4-L5 Level?

PATIENT MRS LIAQAT REGISTRATION # NAME 28/05/2024 AGE: GENDER: 52 Years Female DATE: ADVISED BY: DR.AHMED SHAFAQAT MRI LUMBAR SPINE CLINICAL INFO: Backache. Right sciatica. TECHNIQUE: Multiplanar and multisequential non contrast MRI lumbar spinewas performed according to departmental protocol. REPORT: There is normal alignment of lumbar vertebrae. Straightening of normal lumbar curve is noted. No dislocation, compression or collapse of vertebral body noted. No focal area of abnormal signal intensity seen in the lumbo-sacral vertebrae / visible spinal cord. Conus medullaris is at L1 level. Paravertebral soft tissues show normal signal intensity. LI-L2 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L2-L3 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L3-L4 level:disc shows preserved margin. No significant foramina stenosis or exiting nerve root compression is seen. Spinal canal is ample at this level. L4-L5 level:moderate circumferential disc bulge with posterior protrusion and focal sequestration causing moderate central canal stenosis &severe narrowing of lateral recesses & neural foramina bilaterally, compressing transiting and exiting nerve roots. Spinal myopathy seen at this level. LS-S1 level: mildcircumferential disc bulge, causing mild central canal stenosis &mild narrowing of lateral recesses & neural foramina bilaterally, abutting transiting and exiting nerve roots. IMPRESSION: • At L4-L5 level,moderate circumferential disc bulge with posterior protrusion and focal sequestration causing moderate central canal stenosis & severe narrowing of lateral recesses & neural foramina bilaterally, compressing transiting and exiting nerve roots. • Lumbar myospasm.