Clinical question: Low back pain with reduced patellar reflex on the left and left calf pain. Signs and symptoms: As above. Nonenhanced lumbar MRI:The alignment of vertebral column is anatomical.The signal intensity of the vertebral column is unremarkable.The lower most visualized thoracic spine and thoracic cord is unremarkable.T12 measured bone is unremarkable.L1-L2 is unremarkable.L2-L3 demonstrate mild disc disease and loss of disc signal and height, mild facet disease and ligamentum flavum hypertrophy. No spinal stenosis or neural foraminal compromise.L3-L4 demonstrate mild disc disease, mild ligamentum flavum hypertrophy and mild facet disease. Mild bilateral facet effusion. No spinal stenosis or neural foraminal compromise.L4-L5 demonstrate mild degenerative disc disease and moderate left and mild right facet hypertrophic changes and including facet effusion however without spinal stenosis or neural foraminal compromise.L5-S1 demonstrate also mild facet and ligamentum flavum degenerative changes and minimal disc disease without spinal stenosis or neural foraminal compromise.Visualized SI joints are unremarkable.There is no perispinal soft tissue abnormalities.
1.No acute findings.2.Mild degenerative changes of lower lumbar spine including mild facet effusion at L3-L4 and L4-L5 levels bilaterally however without spinal stenosis, neural foraminal or lateral recess compromise at any level.3.Unremarkable perispinal soft tissues.