Male, 31 years old, with radiating sciatic pain, right side more than left. Spinal alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement is seen. Mild endplate edema is evident at L5-S1.The visualized spinal cord, conus and nerve roots of the cauda equina are unremarkable.Loss of disk height and T2 signal are seen at L5-S1. A large central and left paracentral disk protrusion is present at this level which causes a mild generalized canal narrowing. There may be some impingement of the left S1 and S2 nerve roots. Questionable mild impingement of the right S1 and S2 nerve roots is also seen. The neural foramina are at most mildly narrowed.Mild disk bulging is seen at L4-5 without significant spinal canal or neuroforaminal stenosis. The remaining levels are free of significant degenerative disk disease.
Disk herniation at L5-S1 resulting in a mild generalized spinal canal stenosis with suspected impingement of the S1 and S2 nerve roots, left side more so than right.