Lumbar back pain with left lower extremity radiculopathy. Five lumbar type vertebral bodies are presumed to be present. Hypoplastic ribs are noted at T12. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: Minimal disc bulge with foraminal component and bilateral facet arthropathy result in mild narrowing of the neural foramina. No spinal canal stenosis.L4-L5: Mild disc bulge with a tiny central disc extrusion component extending superiorly and endplate osteophyte. There is focus of enhancement within the region of the tiny extrusion which may be in part related to scar tissue. There is moderate bilateral facet arthropathy. There is fairly mild narrowing of the neural foramina. No spinal canal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Moderate bilateral facet arthropathy.There is mild enhancement associated with the facet arthropathy at L3-L4, L4-L5, and L5-S1, which is likely on a degenerative basis. There is focal enhancement at the L4-L5 level as described above. Otherwise no significant enhancement within the thecal sac or epidural space. Calcified uterine fibroids are partially imaged.
1. Multilevel degenerative changes in the lumbar spine with fairly mild narrowing of the neural foramina at L3-L4 and L4-L5. No high-grade neural foraminal stenosis at any level. No spinal canal stenosis at any level.2. Moderate facet arthropathy at L4-L5 and L5-S1 and to a slightly lesser degree at the L3-L4 levels.3. Minimal focal enhancement in the left ventral epidural space at the L4-L5 level which may represent postoperative scar tissue and/or associated with tiny disc extrusion. No appreciable mass effect on the nerve roots.