Female, 55 years old, with low back pain radiating to the feet. History of MVA. Spinal alignment is anatomic. Vertebral body morphology is within normal limits. Edematous endplate signal alteration is demonstrated at L4-5 the right. Otherwise, marrow signal characteristics are within normal limits.The visualized spinal cord, conus and nerve roots of cauda equina are unremarkable.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Facet hypertrophy and ligamentum flavum thickening. Prominence of the dorsal epidural fat. Mild generalized narrowing of the thecal sac. Mild left foraminal narrowing. L4-5: Facet hypertrophy with effusion on the right and ligamentum flavum thickening. Prominence of the dorsal epidural fat. Bulging disc with annular fissuring in the right foraminal zone. Mild generalized spinal canal stenosis with effacement of the lateral recesses. Moderate bilateral foraminal narrowing. L5-S1: Facet hypertrophy and ligamentum flavum thickening. Minimal bulging disc with a small annular fissure at the left foraminal zone. Mild bilateral foraminal narrowing.
Relatively mild degenerative disc disease is seen. Mild generalized spinal canal narrowing is seen at L3-4 and L4-5. Moderate neuroforaminal narrowing is evident bilaterally at L4-5.