Diagnosis: Lumbago with sciatica, unspecified sideClinical question: back and hip pain, abnormal plain x-rays Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is loss of disk space height, disk dessication, subacute endplate reactive change and a broad based right lateral recess disk extrusion encroaching on the nerve roots at the right lateral recess and to a lesser degree nerve roots at the left lateral recess. There is mild encroachment of the nerve roots within the left neural foramen at this level due to disk material. There is mild facet hypertrophy at this level.At L4-5 there is loss of disk space height, disk dessication and a small broad based central disk protrusion. There is mild narrowing of the spinal canal at this level but there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy at this level.At L3-4 there is loss of disk space height and disk dessication. There is mild narrowing of the spinal canal at this level but there is no significant compromise to spinal canal or neural foramina. There is facet and ligamentum flavum hypertrophy at this level.At L2-3 there is loss of disk space height, disk dessication and a diffuse disk bulge. There are some chronic appearing endplate reactive changes present. There is narrowing of the spinal canal with crowding of the nerve roots within the thecal sac at this level but there is no significant compromise to the exiting nerve roots within the neural foramina. Overall there is moderate spinal stenosis present. There is facet and ligamentum flavum hypertrophy at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.At T12-L1 there is loss of disk space height, disk dessication and a diffuse disk bulge associated with end plate reactive changes. There is no significant compromise to spinal canal or neural foramina.
1.There are multilevel degenerative changes present.2.There is moderate spinal stenosis at L2-3 .3.There is a broad- based disk extrusion at L5-S1 encroaching on the nerve roots at the right lateral recess and to a lesser degree nerve roots at the left lateral recess and right neural foramen. 