Diagnosis: Lumbago with sciatica, right sideClinical question: r/o disc path, spinal stenosisSigns and Symptoms: back pain with right sciatica; not better with PT Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact. There is multilevel disc desiccation present. The marrow within the lumbar vertebrae has a somewhat mottled appearance on the T1 and T2 images with multiple foci of focal fatty replacement. These suppress on the fat suppressed images.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height and a diffuse disc bulge at this level associated with mild to moderate bilateral facet and ligamentum flavum hypertrophy.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is facet and ligamentum flavum hypertrophy present at this level associated with mild anterior subluxation of L3 and L4. There is loss of disc space height at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.A cyst is present along the inferior pole of the right kidney and another one is present along the midportion of the right kidney. Smaller cysts are present in the left kidney.
There are multilevel degenerative changes present in the lumbar spine without significant compromise to the spinal canal or exiting nerve roots.