Female, 49 years old, with radiculopathy in the lumbar region. Evaluate for herniated disc. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural lesions are seen.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: No significant spinal canal stenosis or neuroforaminal narrowing. L3-4: Facet arthropathy. No spinal canal or foraminal stenosis. L4-5: Facet arthropathy. No spinal canal or foraminal stenosis. L5-S1: Facet arthropathy. No spinal canal stenosis or foraminal narrowing. There is a perineural root sleeve cyst in the right lateral recess, likely an incidental finding.
Facet arthropathy is evident at lower lumbar levels. Otherwise, no significant degenerative findings are seen. Specifically, there is no evidence of any disc herniation or significant compromise of the spinal canal or neural foramina.