Left lumbar radiculopathy since 2 months 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. Small Schmorl's nodes are noted at T11-T12 endplates. Minimal disc bulges in the lower thoracic spine are also evident. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge, facet arthropathy, and ligamentum flavum thickening. There is minimal central canal stenosis. Neural foramina are patent.L3-L4: There is a disc bulge which is eccentric to the left, with associated effacement of the left lateral recess and moderate left-sided neural foraminal stenosis. There is is also mild to moderate central canal stenosis related to disc bulge, ligamentum flavum thickening, and facet arthropathy. Mild right neural foraminal narrowing.L4-L5: There is mild disc bulge as well as ligamentum flavum thickening and facet arthropathy contributing to mild to moderate central canal stenosis. There is mild to moderate left and minimal right neural foraminal stenosis. L5-S1: No significant disc disease. There is moderate bilateral facet arthropathy. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Multilevel degenerative changes in the lumbar spine with mild to moderate central canal stenosis at L3-L4 and L4-L5. There is also multilevel neural foraminal narrowing, worst at the left L3-L4 and to a slightly lesser degree left L4-L5 levels, with possible impingement of the exiting left L3 and L4 nerve roots, respectively. Additional details as above.