Lumbar radiculopathy, left-sided Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is grade 1 anterolisthesis of L4 on L5 as well as minimal retrolisthesis of L5 on S1. There is moderate to severe disc height loss from the L2-L3 to the L5-S1 levels, particularly worse at the L2-L3 and L5-S1 levels. Bone marrow signal is benign with fatty endplate marrow signal changes evident on a degenerative basis at multiple levels, worst at the L5-S1 level. There is vacuum disc phenomena at the L4-L5 and L3-L4 levels. The conus medullaris is normal in position.Multilevel degenerative changes are further described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Disc height loss and disc bulge eccentric to the left. There is partial effacement of the left lateral recess. Otherwise no significant spinal canal stenosis. Neural foramina are patent. There appears to be contact of the left extraforaminal L2 nerve root with a prominent left lateral disc osteophyte complex.L3-L4: Disc bulge eccentric to the left and a small left foraminal/extraforaminal disc protrusion. Mild to moderate left neural foraminal stenosis. There is contact and displacement of the extraforaminal left L3 nerve root. There is no significant spinal canal or right neural foraminal stenosis. L4-L5: Grade 1 anterolisthesis with disc uncovering and disc bulge, eccentric to the right. There is also moderate bilateral facet arthropathy and ligamentum flavum thickening. There is moderate degree of spinal canal stenosis including effacement of the lateral recesses. There is moderate to severe right neural foraminal stenosis with possible impingement of the right L4 nerve root. Mild left neural foraminal stenosis.L5-S1: Severe disc height loss with associated fatty endplate marrow signal changes. There is minimal retrolisthesis and mild disc bulge, eccentric to the right, as well as mild bilateral facet arthropathy. There is no significant central spinal canal stenosis. There is partial effacement of the right lateral recess with contact of the right descending S1 nerve root. There is moderate left and mild right neural foraminal stenosis.Fatty atrophic changes are noted in the paraspinous musculature. Paraspinous soft tissues are otherwise unremarkable.
1. Moderate multilevel degenerative changes throughout the lumbar spine with significant disc height loss from the L2-L3 to the L5-S1 levels, worst at the L5-S1 level.2. There is grade 1 anterolisthesis at L4 on L5 with moderate degree of facet arthropathy at this level and moderate degree of spinal canal stenosis. 3. There are multilevel neural foraminal stenoses, worst at the right L4-L5 level. Additional details as above.