Female, 55 years old, with chronic lumbar pain, tingling and numbness. Spinal alignment is within normal limits. Vertebral body heights are maintained. Bone marrow signal intensity is unremarkable. The visualized spinal cord, conus and cauda equina demonstrate normal signal intensity and morphology. No pathologic marrow space, paraspinal or intraspinal enhancement is seen. The L4-5 disc shows loss of T2 signal. The L5-S1 disc shows loss of T2 signal and mild loss of height. Additional level specific findings are as follows:L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet hypertrophy. Mild laterally bulging disc. No significant spinal canal or foraminal stenosis. L4-5: Mild facet hypertrophy. Mild bilging disc with a small right paracentral protrusion. No significant generalized spinal canal stenosis. No significant neuroforaminal narrowing. L5-S1: Severe left and moderate right facet hypertrophy. Mild bulging disc. No significant spinal canal stenosis. No significant neuroforaminal narrowing.
1.Degenerative disc disease at L4-5 and L5-S1 without significant spinal canal stenosis or foraminal narrowing.2.Moderate to severe facet arthropathy at L5-S1.