Reason: disc herniation, stenosis History: lowe back pain radiating into both legs R >L Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet hypertrophy present at this level. There is disk desiccation at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a diffuse disk bulge and disk dessication present at this level associated with bilateral facet and ligamentum flavum hypertrophy. The fat at the lateral recesses is not effaced. The fat surrounding the exiting nerve roots within the neural foramina is not effaced. Overall there is a mild degree of spinal stenosis present at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the lower lumbar spine without significant compromise to the spinal canal or exiting nerve roots. There is only mild spinal stenosis at L4-5.