Right leg pain. There is facet joint arthropathy in the lower lumbar spine and ligamentum flavum thickening with associated mild neural foraminal narrowing at L4-5 and L5-S1 bilaterally, but no significant spinal canal stenosis. There is also a subcentimeter posterior synovial cyst associated with the left L5-S1 facet joint. There is no significant neural foraminal or spinal canal stenosis at the other lumbar spine levels. The lumbar vertebral column alignment is anatomic without subluxations. The vertebral bone marrow signal is unremarkable. The vertebral body heights are maintained. The conus is normal in signal and morphology and terminates at the L1-2 level. There is no intraspinal hematoma or mass. The paraspinal structures are unremarkable.
Facet joint arthropathy in the lower lumbar spine and ligamentum flavum thickening with associated mild neural foraminal narrowing at L4-5 and L5-S1 bilaterally, but no significant spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.