Lumbar radiculopathy, evaluate for nerve compression at L5-S1. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is moderate levoscoliosis of the lumbar spine with apex at the L2-L3 level. Bone marrow signal is benign. The conus medullaris is normal in position. There are multilevel degenerative changes with disc desiccation throughout the lumbar spine and loss of height which is particularly worse at the L4-L5 and L5-S1 levels. There are fatty associated endplate marrow signal changes.Multilevel degenerative changes are seen, as described below:T12-L1: There is mild spinal canal stenosis related to mild disc bulge, ligamentum flavum thickening, and bilateral facet arthropathy. There is mild to moderate left greater than right neural foraminal narrowing.L1-L2: Minimal disc bulge and bilateral facet arthropathy. There is no significant spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis.L2-L3: Disc height loss particularly on the right. There is mild disc bulge with small central protrusion. There is bilateral facet arthropathy, with likely small subchondral cyst involving the left facet joint. There is also ligamentum flavum thickening. These changes contribute to mild to moderate spinal canal stenosis at this level. There is moderate to severe right neural foraminal stenosis where there may be impingement of the right L2 nerve root. There is moderate left neural foraminal stenosis.L3-L4: Mild disc bulge and moderate bilateral facet arthropathy. There is mild bilateral right worse than left neural foraminal stenosis. There is mild to moderate spinal canal stenosis.L4-L5: There is disc height loss and minimal bulge. There is facet arthropathy, left worse than right. There is mild to moderate left and mild right neural foraminal stenosis. No significant spinal canal stenosis.L5-S1: There is disc height loss and disc bulge. There is bilateral facet arthropathy, left worse than right. There is moderate left neural foraminal stenosis and mild to moderate right neural foraminal stenosis. No significant spinal canal stenosis.Small cysts are noted involving the bilateral kidneys. Paraspinous soft tissues are grossly unremarkable.
Multilevel degenerative changes throughout the lumbar spine. There is moderate levoscoliosis with apex at the L2-L3 level. There is mild to moderate spinal canal stenosis at L2-L3 and to a slightly lesser degree at the L3-L4 level. There is moderate to severe right L2-L3 neural foraminal stenosis where there may be impingement of the right L2 nerve root. There is also moderate left L5-S1 neural foraminal stenosis. Please see additional levels as above.