Clinical History: Low back pain. History of degenerative disc disease.

MR imaging of the lumbar spine was performed using a high resolution 1.5
Tesla GE Signa Advantage unit. Sagittal and axial MR imaging of the lumbar
spine was performed using multiple pulse sequences.

Direct comparison is made to the CT scan of the lumbar spine performed the
same date as well as a previous MRI exam of the lumbar spine dated January
15, 2004.

At the lumbar spine, there is no evidence of fracture or subluxation. There
is evidence of mild degenerative disc disease at L3-4 and moderate-to-severe
degenerative disc disease at L4-5 as evidenced by disc space narrowing and
loss of signal. This is unchanged from the previous MRI of the lumbar spine.
The conus medullaris projects at T12-L1 and appears to be unremarkable.
There is no evidence of an underlying marrow infiltrative lesion.

At L5-S1, there is no focal disc herniation or significant spinal canal
stenosis. The appearance is unchanged.

At L4-5, there has been no significant interval change in the appearance of
a moderate-size, circumferential annular bulge with slight flattening of the
ventral thecal sac. There is a stable appearance of very mild central
stenosis. There is a stable appearance of moderate-to-severe bilateral
neural foraminal stenosis.

At L3-4, there is a minimal annular bulge without significant central
stenosis. There is a stable appearance of bilateral neural foraminal
stenosis as well.

At L2-3 and L1-2, there are no significant abnormalities.

CONCLUSION:
1. Compared to the previous MRI exam of the lumbar spine dated January 15,
2004, there has been no significant interval change.

2. At L4-5, there is a stable appearance of an annular bulge without
focality. There is a stable appearance of very mild central stenosis and
moderate-to-severe bilateral neural foraminal stenosis.

3. At L3-4, there is a stable appearance of a mild annular bulge without
focality. There is no significant central stenosis. However, there is
stable mild bilateral foraminal stenosis.

i hope im still a ADR candidate
chuck