Sarcoidosis, systemic lupus erythematosus, low back pain 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 with T1 hyperintense foci scattered within the vertebral bodies compatible with focal fat or hemangiomas. The conus medullaris is normal in position.Mild 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: Disc desiccation, mild disc bulge, and dorsal annular fissure. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L5-S1: Disc desiccation. No spinal canal or neural foraminal stenosis. Moderate facet arthropathy.Paraspinous soft tissues are within normal limits.
Mild degenerative changes in the lumbar spine without significant spinal canal stenosis or neural foraminal stenosis at any level. There is facet arthropathy at L5-S1 bilaterally and to a lesser degree at L4-L5, which may be contributing to patient's low back pain.