 For numbering purposes, there are total of 5 lumbar type vertebral bodies. There is minimal anterolisthesis of L4 on L5. Otherwise the alignment is anatomic. Foci of T1 and T2 hyperintensity in the L3 and L4 vertebral bodies are suggestive of hemangiomas. Vertebral body heights are preserved.The conus is normal in signal and morphology and terminates at L1-L2 level. The visualized intra-abdominal and paraspinal contents are unremarkable.There is mild desiccation of L2-L3, L3-L4, and L4-L5 intervertebral discs with no significant loss of height.T12/L1: No significant spinal canal or neural foraminal stenosis.L1/2: No significant spinal canal or neural foraminal stenosis.L2/3: There is a small right paracentral disc protrusion with no significant spinal canal or neural foramina stenoses.L3/4: There is a moderately sized left foraminal disc protrusion, resulting in severe left neural foraminal stenosis and probable impingement of the exiting nerve root. Additionally, there is mild facet joint hypertrophy bilaterally resulting in mild right neural foraminal stenosis. No significant spinal canal stenosis present.L4/5: There is a central disc protrusion and bilateral facet joint arthropathy and edema resulting in moderate spinal canal stenosis and severe left neural foraminal stenosis with possible nerve impingement and moderate-to-severe right neural foraminal stenosis.L5/S1: Mild facet joint hypertrophy, left greater than the right, resulting in mild left neural foraminal narrowing with no significant spinal canal stenosis.SI Joints: No significant abnormalities.
1.Left foraminal disc protrusion at the L3-L4 level, resulting in severe left neural foraminal stenosis and possible nerve impingement at this level.2.Central disc protrusion at L4-L5 which, with posterior element degeneration, contributes to a moderate generalized spinal canal stenosis. Facet arthropathy contributes to significant left foraminal narrowing at this level with possible nerve root impingement.