Low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are essentially within normal limits. There is trace anterior wedging involving the L1 and L2 vertebral bodies which may be physiologic. Alignment is within normal limits. Bone marrow signal is benign with a focus of T1 hyperintensity at L1 compatible with a small hemangioma.. 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: There is disk desiccation with left dorsal annular fissure and small protrusion. Minimal effacement of the left lateral recess. No significant spinal canal or neural foramina stenosis seen. L3-L4: Minimal disk bulge, ligamentum flavum thickening, and facet arthropathy. No significant spinal canal or neural foraminal stenosis is seen. L4-L5: Minimal disk bulge eccentric to the left with mild left neural foraminal narrowing. No significant spinal canal or right neural foraminal narrowing.L5-S1: Disk desiccation with small dorsal annular fissure, and tiny protrusion. No significant spinal canal or right neural foramina stenosis is seen. Minimal left neural foraminal narrowing. There is mild to moderate bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the lumbar spine as detailed above with small multilevel disk bulges and protrusions. No significant spinal canal or neural foramina stenosis at any level.2. Facet arthropathy in the lower lumbar spine which may be contributing to patient's low back pain. 3. Trace anterior wedging at L1 and L2 vertebral bodies which may be physiologic. No edema to suggest recent compression fracture.