Clinical question: Rule out radiculopathy. Signs and symptoms: Cramping of the lower extremities with right sciatica. Nonenhanced lumbar MRI:There is normal anatomical alignment of the vertebral column and with unremarkable signal intensity.T11-T12 demonstrate mild degenerative changes and unremarkable otherwise.T12-L1 demonstrate mild degenerative changes and unremarkable otherwise.L1-L2 is unremarkable.L2-L3 demonstrate mild degenerative disc disease and mild bilateral facet and ligamentum flavum hypertrophy without spinal stenosis. A shallow right lateral disc-osteophyte is present with resultant mild right neural foraminal compromise and patent left neural foramina.L3-L4 demonstrate mild degenerative disc disease and facet/ligamentum flavum hypertrophy without central spinal stenosis. Degenerative changes however results in mild to moderate right and mild left neural foraminal compromise.L4-L5 demonstrate mild disc disease and mild to moderate bilateral ligamentum flavum hypertrophy and mild facet disease. No spinal stenosis or neural foraminal compromise however hypertrophic changes of posterior elements results in left lateral recess compromise.L5-S1 demonstrate mild disc disease and moderate right and mild left facet hypertrophic changes. No spinal stenosis or neural foraminal compromise. Mild left lateral recess compromise is noted.Incidental note is made of partially visualized cysts in bilateral kidneys (left larger than right) and unremarkable paraspinal soft tissues otherwise.Visualized SI joints are unremarkable..
1.Mild degenerative disc disease and mild to moderate hypertrophic changes of facets and ligamentum flavum as detailed per level above.2.No evidence of central spinal stenosis at any level.3.Multilevel mild neural foraminal and lateral recess compromise as detailed per level above.4.Partially visualized cyst and bilateral kidneys (left greater than right).