Bilateral leg weakness, evaluate for disc disease 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 at the lower limits of normal in position at the lower L2 level.There is fairly mild generalized facet arthropathy. 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: Mild disc desiccation and minimal bulge. No spinal canal or neural foraminal stenosis.L4-L5: Disc desiccation and minimal bulge. Minimal effacement of the left lateral recess. Otherwise no significant spinal canal or neural foraminal stenosis.L5-S1: Dorsal annular fissure with small central and right paracentral paracentral disc protrusion. There is contact of the right S1 nerve root in the lateral recess without evidence of impingement. Spinal canal is otherwise patent. There is mild right neural foraminal stenosis. Left neural foramen is patent. Paraspinous soft tissues are within normal limits. There are multiple cysts involving the right kidney.
1. Very mild multilevel degenerative changes in the lumbar spine. There is minimal effacement of the lateral recesses at L4-L5 and L5-S1 as described above and mild right L5-S1 neural foraminal narrowing. Otherwise no significant spinal canal or neural foraminal stenosis at any level.2. Conus is at the inferior L2 level which is at the lower limits of normal.