Lumbar back pain with left sided radicular symptoms, prior L5 diskectomy. There is multilevel degenerative spondylosis. In particular, at L3-4, L4-5, and L5-S1, there are small disc bulges with annular fissures, with mild spinal canal narrowing and perhaps impingement upon the nerve roots in the left lateral recess at L4-5 and L5-S1 levels. The vertebral column alignment is within normal limits. The vertebral body heights are preserved, aside from a small intravertebral disc herniation in the inferior endplate of L5. The vertebral bone marrow signal is unremarkable, aside form degenerative endplate alterations at L5-S1. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Multilevel degenerative spondylosis. In particular, at L3-4, L4-5, and L5-S1, there are small disc bulges with annular fissures, with mild spinal canal narrowing and perhaps impingement upon the nerve roots in the left lateral recess at L4-5 and L5-S1 levels. 