Right lumbar radicular pain for several weeks. The most superior nonrib-bearing vertebral body is labeled as L1. There are hypoplastic ribs associated with the T12 vertebral body. There are 4 lumbar type vertebral bodies and a fifth sacralized transitional segment labeled S1 for the purposes of this study. Vertebral body heights are within normal limits. There are multiple small Schmorl's nodes, relatively more prominent at the inferior T11 and superior inferior L1 endplates. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Mild multilevel degenerative changes are seen, as described below:T12-L1: No significant disc disease. No spinal canal or neural foraminal stenosis.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge without significant spinal canal stenosis. There is mild left and minimal right neural foraminal stenosis. L3-L4: Mild disc bulge with small central protrusion, ligamentum flavum thickening, and mild to moderate facet arthropathy without significant central spinal canal stenosis. There is partial effacement of the lateral recesses and mild left worse than right neural foraminal stenosis.L4-S1: Disc bulge with small central protrusion, ligamentum flavum thickening, and mild to moderate facet arthropathy. There is partial effacement of the lateral recesses without significant central spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis.S1-S2: No significant disc disease, spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Mild multilevel degenerative changes as described above without significant central spinal canal stenosis at any level. There is mild or mild to moderate neural foraminal stenosis at multiple levels. No higher grade foraminal stenoses is appreciated.2. Transitional lumbosacral junction anatomy as described above with four lumbar type vertebral bodies.