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FINDINGS:
Vertebral body alignment is within normal limits. There is a 
subcentimeter hemangioma in L4. Otherwise, marrow signal is within 
normal limits. There is very minimal disk desiccation at multiple 
levels. There is no disk space narrowing. There is no fracture or 
loss in vertebral body height. The conus ends at T12-L1. Visualized 
conus is normal. There is a fatty filum terminale, which measures 2 
mm in diameter diffusely. Perivertebral soft tissues are within 
normal limits.

T12-L1: Minimal facet disease.

L1-2: Minimal facet disease.

L2-3: Mild facet disease.

L3-4: There is at least moderate facet disease. There is minimal 
annual bulge. Central canal is minimally narrowed. Lateral recesses 
and foramina are normal. 

L4-5: There is moderate facet disease. Minimal annular bulge is 
present. Central canal, foramina and lateral recesses are normal.

L5-S1: There is mild facet disease. Central canal, foramina and 
lateral recesses are within normal limits.

Dictated by: Robert Myers, MD on February 22, 2016 at 14:09 
Transcribed by: Page on February 23, 2016 at 8:08 
Approved by: Robert Myers, MD on February 24, 2016 at 9:38

Impression

CONCLUSION
1. Multilevel degenerative facet disease most prominent at L3-4. 
Together with mild annual bulge, there is mild central canal stenosis 
at this level.
2. Fatty filum terminale. 
3. No malalignment, fracture or suspicious marrow signal 
abnormality.

commented by
I also wanted to note that I have been experiencing daily severe pain in my left thiegh and hip and lower back for almost 2 years. I was totally active and exersized all the time but due to this onset of pain which is only getting worse I cannot barely get out of bed at times cannot sit or stand for any length of time and walk with a cane now. I'm 45 years old and I feel my doctor just looks at me when I ask for pain relief. So I got sent to a speciast and had this MRI done 3 weeks ago.
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