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CLINICAL INDICATION: Lower abdominal pain radiating to the upper abdomen. Right
upper leg. Lateral and medial thigh pain and groin pain.? Nerve root impingement?
Endometriosis?
FINDINGS: Normal alignment of the cervical, thoracic and lumbar spine.
No acute fracture, facet joint dislocation or pars defects.
No evidence of inflammatory spondyloarthropathy.
Mild degenerative disc changes noted at C4-5 and C5-6 but there is no significant disc
herniation, exiting foraminal, lateral recess or spinal canal stenosis in the cervical or thoracic
spine.
No cord compression or myelopathy.
The visualised brain is normal.
There is degenerative disc dehydration and volume loss at L5 S1 with shallow disc protrusion
at that level causing bilateral exiting L5 nerve root impingement, slightly worse on the left.
Fatty endplate change also noted at L5 S1.
No cauda equina compromise.
No sinister bone marrow lesions, paravertebral or intrathoracic pathology.
Small amount of free fluid noted in the pelvis
CONCLUSION / RECOMMENDATION: Mild degenerative changes in the lower cervical and
lower lumbar spine as detailed above.
Bilateral exiting L5 nerve root impingement at L5 S1.