Low back pain and right lower extremity paresthesias/weakness. History of SLE. 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 including a small focus of T1 hyperintensity involving the right aspect of the L3 vertebral body compatible with a small hemangioma. 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: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: Minimal disc bulge with minimal right neural foraminal narrowing. Otherwise no spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge with mild narrowing of the right neural foramen. Otherwise no significant spinal canal or neural foraminal stenosis. Mild facet arthropathy.L5-S1: Disc desiccation with mild height loss. There is disc bulge with a right foraminal component which results in moderate to severe right-sided neural foraminal stenosis and suspected impingement of the right L5 nerve root. No significant spinal canal stenosis. There is mild left neural foraminal narrowing. Mild facet arthropathy.Paraspinous soft tissues are within normal limits.
Disc bulge at L5-S1 results in moderate to severe right-sided neural foraminal stenosis with suspected impingement of the right L5 nerve root.Minimal degenerative changes at additional levels as above.