Female, 58 years old, with back pain and radiculopathy. Alignment is anatomic. Vertebral body heights are preserved. No worrisome marrow signal abnormality is seen. The visualized spinal cord, conus and cauda equina are unremarkable.L1-2 to L3-4: Mild to moderate facet arthropathy. No significant disk degeneration, spinal canal or neuroforaminal stenosis. L4-5: Moderate facet hypertrophy. Advanced disk degeneration with loss of disk height and fatty endplate marrow change. Disk bulge with a central/right paracentral inferior extrusion which does not appear to directly impinge on any nerve roots. Mild generalized spinal canal narrowing. Moderate bilateral foraminal narrowing. L5-S1: Mild facet hypertrophy. Advanced disk degeneration with loss of disk height and fatty endplate marrow change. Bulging disk. No significant spinal canal narrowing. Severe left foraminal narrowing with probably nerve root impingement. Moderate to severe right foraminal narrowing with questionable nerve root impingement.
1.Advanced disk degeneration at L4-5 with a disk bulge and central/paracentral extrusion, mild generalized spinal canal narrowing, and moderate foraminal narrowing.2.Advanced disk degeration at L5-S1 with a disk bulge and severe bilateral foraminal narrowing. Nerve root impingement is highly suspected on the left, with questionable impingement on the right. 