Low back pain, leg pain. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is straightening of the lumbar curvature and minimal retrolisthesis of L3 on L4 and L4 and L5. Alignment is otherwise maintained. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: There is disc desiccation and mild disc bulge. There is no significant spinal canal stenosis. There is mild to moderate left and mild right neural foraminal stenosis. Mild facet arthropathy.L4-L5: There is disc desiccation and mild bulge without significant spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis. There is a Schmorl's node and mild edema involving the inferior L4 endplate on the left which is on a degenerative basis. Mild facet arthropathy.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.Paraspinous soft tissues are within normal limits. Left kidney is absent.
1. Disc bulges at L3-4 L4 and L4-L5 with mild-to-moderate neural foraminal stenosis as described above.2. No significant spinal canal stenosis at any level.