Clinical question: Evaluate for pathology of lumbar pain. Signs and symptoms: Lumbar pain with radiculopathy. Nonenhanced lumbar MRI:There is normal anatomical alignment of vertebral colon.The signal intensity of vertebral column demonstrate mild changes secondary to degenerative disease and unremarkable otherwise.T12-L1 is unremarkable.L1-L2 is unremarkable.L2-L3 is unremarkable.L3-L4 demonstrate mild ligamentum flavum hypertrophy and mild facet disease and unremarkable otherwise.L4-L5 demonstrate mild to moderate bilateral ligamentum flavum hypertrophy and mild facet disease and including minimal left facet effusion. No spinal stenosis or neural foraminal compromise.L5-S1 demonstrate moderate disc disease and loss of disc height, mild to moderate bilateral ligamentum flavum hypertrophy and mild facet disease. There is a midline and right lateral broad-based disc protrusion with resultant significant right lateral recess compromise and evidence of mass effect on the right S1 nerve root. No spinal stenosis however moderate right neural foraminal compromise secondary to degenerative changes is present.The paraspinal soft tissues are unremarkable.The signal intensity and caliber of the lower most visualized thoracic cord, conus and cauda equina is unremarkable.
1.Central and right lateral broad-based disc protrusion with resultant mass effect and right lateral recess compromise at L5-S1 as detailed. Right neural foraminal compromise at L5-S1 secondary to degenerative disease is also present.2.Unremarkable exam at all other levels and without spinal stenosis at any level.