Low back pain that has not responded to injections and conservative therapy, patient denies radiation down her legs 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. The conus medullaris is normal in position.Minimal degenerative changes are seen including mild multilevel disc desiccation; individual levels as 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. There is mild facet arthropathy, relatively worse on the left.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis. There is mild bilateral facet arthropathy.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. There is mild to moderate degree of facet arthropathy bilaterallyParaspinous soft tissues are within normal limits.
1. No significant compromise to the lumbar spinal canal or neural foramina.2. Mild to moderate multilevel facet arthropathy, relatively worse at the L5-S1 level which may be contributing to patient's low back pain.