Back and leg pain. Patient with pain over a year and sharp stabbing pain to the legs, failed medications, physical therapy, and steroid injections. Five lumbar type vertebral bodies are presumed to be present. 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: Minimal disc bulge, slightly eccentric to the left which contacts the left exiting L2 nerve root far laterally without impingement. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L3-L4: Minimal disc bulge and mild facet arthropathy contribute to mild bilateral neural foraminal stenosis. No significant spinal canal stenosis. L4-L5: Minimal disc bulge with no significant spinal canal stenosis. Mild bilateral neural foraminal narrowing. Mild facet arthropathyL5-S1: There is disc bulge with right dorsal annular fissure. There is also mild to moderate bilateral facet arthropathy. There is mild effacement of the right lateral recess without clear evidence of nerve root impingement. There is mild bilateral neural foraminal stenosis. No central canal stenosis. There is a bony defect involving the right iliac bone which may represent a bone graft site, recommend correlation with history.
Mild multilevel degenerative changes in the lumbar spine with mild multilevel neural foraminal narrowing. No evidence of high-grade spinal canal or high-grade neural foraminal stenosis at any level. Please see details above.