Leg weakness, acute onset pain, history of cancer, sciatica. Rule out herniated disc, cord compression other pathology. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is disc desiccation of L3-4, L4-5 and L5-S1. There is mild loss of disc height at the L5-S1 level with degenerative changes at the endplate including a Schmorl's node. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. The spinal cord terminates appropriately at the L2 level.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is mild facet hypertrophy and ligamentum flavum thickening but no significant compromise to spinal canal or neural foramina.L3-L4: There is a disc bulge with facet hypertrophy and ligamentum flavum thickening which causes mild central canal stenosis. There is no significant compromise to the neural foramina.L4-5: There is a disc bulge and moderate facet hypertrophy and ligamentum flavum thickening which causes mild central canal stenosis. No significant compromise to the neural foramina.L5-S1: There is facet hypertrophy and ligamentum flavum thickening but no significant compromise to spinal canal or neural foramina.
1.Mild degenerative changes of the lower lumbar spine with mild diffuse disc bulges at L3-4 and L4-5 levels which cause mild central canal stenosis at the L3-4 and L4-5 level. No evidence of herniated disc or significant neural foraminal compromise.