Male, 37 years old, with back pain. Alignment is anatomic. Vertebral body heights are preserved. Mild degenerative endplate edema is seen at L4-5. Elsewhere, no significant marrow replacement or marrow edema is detected. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet arthropathy. Loss of disc T2 signal, mild disc bulging and a small central protrusion. No significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing. L4-5: Mild facet arthropathy. Mild disc bulging with a small central disc protrusion. No significant generalized spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Moderate facet arthropathy. Mild disc bulging with a superimposed left foraminal protrusion. No significant generalized spinal canal stenosis. Mild left foraminal narrowing.
Relatively mild disc degeneration is seen at L3-4, L4-5 and L5-S1 with disc bulging and small protrusions as discussed above. No areas of high-grade spinal canal stenosis are seen and only mild scattered foraminal narrowing is observed.