Patient Case Report Sample. DOI: 11/14/2005. Patient is an 83 year old female demonstrator who sustained injury to her lower back while breaking down on her table. MRI of the lumbar spine date 3/17/16 (no official report) revealed bilateral facet hypertrophy at L2-3, right disc bulge at L3-4 with bilateral facet hypertrophy, ligamentum flavum ....