Leg numbness/tingling. Difficulty voiding after injury. Rule out cauda equina syndrome. Evaluate for disc bulge. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is also within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position at the upper L2 level. There is mild fibrofatty infiltration of the distal filum terminale measuring up to 2 mm at the S2 level.Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: There is disc desiccation and disc bulge eccentric to the right as well as a disc extrusion measuring approximately 8 x 11 x 10 mm which effaces the right lateral recess. There is also mild stenosis involving the right lateral aspect of the central spinal canal, which is otherwise patent.. There is suspected impingement of the right S1 nerve root. There is also contact of the right S2 nerve root. There is also mild to moderate bilateral, right greater than left neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Right L5-S1 disc extrusion with associated impingement of the right S1 nerve root in the lateral recess. There is also contact of the right S2 nerve root. There is also mild to moderate bilateral, right greater than left, L5-S1 neural foraminal stenosis.