Recent shingles outbreak, bilateral burning lower extremity pain. The conus medullaris or lower spinal cord are unremarkable. There is no evidence of enhancing lesions. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. There is degenerative spondylosis in the lower lumbar spine with facet hypertrophy and effusions, as well as mild disc space and bulging with bilateral neural foraminal narrowing at L4-5 and L5-S1, but no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.
No evidence of lower spinal cord or cauda equina lesions.