Reason: low back pain, eval disc dz History: low back pain, radicular pain, degenerative disc dz Five lumbar type vertebral bodies are presumed to be present. The lumbar spine appears slightly straightened. The vertebral body heights are well-maintained. There is mild loss of disc height at L5-S1. The remaining intervertebral disc heights are well-maintained. There is loss of the normal T2 signal within the intervertebral discs of L4-5 and L5-S1, consistent with disc desiccation. No focal marrow signal abnormality is appreciated. The conus medullaris on sagittal imaging is grossly intact.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-5: There is mild disc bulge with superimposed right foraminal disc protrusion, which may exert slight mass effect on the descending L5 nerve root. There is a small tear of the right far lateral annular fissure. Mild to moderate right greater than left facet arthropathy is present. There is no significant compromise to the spinal canal or neural foramina.L5-S1: There is mild disc bulge with left foraminal prominence. Mild right and moderate left neuroforaminal stenosis. There is no significant compromise to the spinal canal.
1. Mild disc bulge at L4-5 with superimposed right foraminal disc protrusion, which may exert slight mass effect on the descending right L5 nerve root.2. Mild disc bulge at L5-S1 with left foraminal prominence and mild right and moderate left neuroforaminal stenosis.