48 year-old woman with history of low back pain. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position and there is no cord signal abnormality.Mild multilevel degenerative changes are seen, as described below:T12-L1: No significant disc disease. No spinal canal or neural foraminal stenosis.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Schmorl's nodes are noted in the inferior endplate of L2 and superior endplate of L3. No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: There is a mild disc bulge with minimal left neural foraminal stenosis. There is no spinal canal stenosis.L5-S1: There is a left paramedian disc protrusion causing significant stenosis of the left lateral recess. There is no significant spinal canal or neural foraminal stenosis. There is mild left L5/S1 facet joint arthropathy.The paraspinous soft tissues are within normal limits.
1.Disc protrusion at L5/S1 with effacement of the left lateral recess and possible impingement of the descending left S1 nerve root.2.Mild left L5/S1 facet joint arthropathy.3.Minimal left L4-L5 neural foraminal stenosis.