Female, 44 years old, with low back pain and bilateral leg pain. Alignment is anatomic. Vertebral body morphology is within normal limits. A mildly transitional morphology of the L5 vertebral body is seen. No concerning marrow replacement or marrow edema is detected.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. The conus tip terminates at the lower L2 level which is within normal limits. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Mild facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L3-4: Moderate facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L4-5: Moderate to severe facet arthropathy and ligamentum flavum thickening. Small cystic structures are evident adjacent to the left facet joint which may be synovial in nature. Disc height is preserved but there is some loss of disc T2 signal. A mild disc bulge is seen with a small superimposed left foraminal protrusion and annular fissure. No significant spinal canal stenosis. The left neural foramen is mildly narrowed. L5-S1: Advanced facet arthropathy and ligamentum flavum thickening. Disc height is preserved but there is some loss of disc T2 signal. A mild bulging disc is seen with small superimposed central protrusion. No significant spinal canal stenosis is seen. The neural foramina are mildly narrowed.
1.At L4-5, there is a mild disc bulge with small superimposed left foraminal protrusion. The left neural foramen is mildly narrowed at this level but there is no significant spinal canal stenosis.2.At L5-S1, there is a mildly bulging disc with small superimposed central protrusion. No significant spinal canal stenosis is seen at this level but the neural foramina are mildly narrowed.3.Facet arthropathy is seen, becoming progressively worse at lower lumbar levels.