Low back pain, pain in the legs For the purposes of numbering, 5 lumbar type vertebral bodies are presumed to be present with S1-S2 disc being diminutive. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Minimal 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: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge without significant spinal canal stenosis and minimal bilateral neural foraminal narrowing.L5-S1: Small right foraminal disc protrusion and annular fissure similar to prior with mild to moderate right neural foraminal stenosis. There is contact of the exiting right L5 nerve root. No significant central canal stenosis. Minimal left foraminal narrowing. Minimal facet arthropathy in the lower lumbar spine. Paraspinous soft tissues are otherwise unremarkable.
Mild degenerative changes in the lumbar spine including right foraminal disc protrusion at the L5-S1 level similar to prior study from 12/13/2013 with mild to moderate right-sided neural foraminal stenosis. There may be impingement of the right L5 nerve root. There is no significant central canal stenosis at any level in the lumbar spine.