Low back pain with lumbar radiculopathy Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is straightening of the lumbar lordosis and mild levocurvature. Bone marrow signal is benign. The conus medullaris is normal in position.There is multilevel disc desiccation with disc height loss, relatively worse at the L4-L5 and L5-S1 levels. Multilevel degenerative changes are further described as below:T12-L1: Small right paracentral disc protrusion. No significant spinal canal or neural foraminal stenosis.L1-L2: Minimal disc bulge, ligamentum flavum thickening, and facet arthropathy. No significant spinal canal or neural foraminal stenosis.L2-L3: Disc bulge which is eccentric to the left, ligamentum flavum thickening, and facet arthropathy contribute to moderate to severe spinal canal stenosis. There is mild left neural foraminal narrowing. Right neural foramen is patent.L3-L4: Disc bulge, ligamentum flavum thickening, and facet arthropathy contribute to mild narrowing of the spinal canal and mild narrowing of the neural foramina.L4-L5: Disc bulge, ligamentum flavum thickening, and facet arthropathy contribute to mild central spinal canal stenosis. There is also partial effacement of the lateral recesses, greater on the left. There is mild to moderate right neural foraminal stenosis as well as contact of the right L4 nerve root extra foraminally. There is mild left neural foraminal stenosis.L5-S1: Disc bulge, ligamentum flavum thickening, and facet arthropathy. Partial effacement of the left lateral recess and minimal central canal stenosis. There is mild to moderate right neural foraminal stenosis and moderate left neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Multilevel degenerative changes throughout the lumbar spine. There is moderate to severe spinal canal stenosis at the L2-L3 level. Neural foraminal stenoses are worst at the bilateral L5-S1 level, left greater than right, as well as the right L4-L5 level. Please see additional details above. 