Back pain, leg burning and pain. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is trace retrolisthesis of L2 on L3, L3 on L4, and L4 and L5. The conus medullaris is normal in position.Multilevel degenerative changes are seen with disc desiccation at the L2-L3, L3-L4, and L4-L5 levels. There is also asymmetric prominence of the epidural fat involving the right lateral aspect of the spinal canal in the upper and mid lumbar spine which is of doubtful clinical significance. Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge, eccentric to the right. No spinal canal or neural foraminal stenosis. Mild facet arthropathy with small facet effusions.L3-L4: Mild disc bulge with small right foraminal disc protrusion. Facet arthropathy with bilateral facet effusions. There is no significant spinal canal stenosis. There is mild right neural foraminal stenosis with contact and posterior displacement of right L3 nerve root. Spinal canal and left neural foramen are patent. L4-L5: Mild disc bulge and moderate bilateral facet arthropathy. There is no significant spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis, left greater than right, which may be effecting the L4 nerve roots.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.Paraspinous soft tissues are within normal limits.
1. Mild to moderate degenerative changes in the lumbar spine as described above. There is no significant spinal canal stenosis at any level. There is neural foraminal narrowing at the right L3-L4 and bilateral L4-L5 levels as above.2. Mild multilevel facet arthropathy, which may also be contributing to patient's back pain.