Pain, numbness in 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 including a small T1 hyperintense focus involving the L2 vertebral body most compatible with a hemangioma. The conus medullaris is normal in position. There is fibrofatty infiltration involving the filum terminale which measure less than 2 mm in thickness and of doubtful clinical significance.Multilevel degenerative changes are seen, as described below:L1-L2: No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge. No spinal canal or neural foraminal stenosis.L3-L4: Mild disc bulge. Previously seen right lateral disc extrusion is no longer seen. There is no significant spinal canal or neural foraminal stenosis. L4-L5: Mild disc bulge. No spinal canal or neural foraminal stenosis. There is bilateral facet arthropathy, worse on the left and similar to prior.L5-S1: Loss of disc height and fatty endplate marrow signal changes are again seen. There is bilateral facet arthropathy as well as mild disc bulge similar to prior. There is resulting mild bilateral neural foraminal stenosis. Paraspinous soft tissues are within normal limits. Right renal cysts again noted.
1. Mild degenerative changes in the lumbar spine with no significant spinal canal stenosis at any level. There is mild neural foraminal narrowing at L5-S1 bilaterally. No higher grade neural foraminal stenosis. Compared to 7/8/2013, right-sided L3-L4 disc extrusion has resolved.2. Facet arthropathy at the L4-L5 and L5-S1 levels, which may be contributing to patient's low back pain.