Right-sided back and leg pain, evaluate for herniated disc, spinal stenosis 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. The conus medullaris is normal in position. There is no abnormal enhancement.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge with no significant spinal canal or neural foraminal stenosis.L3-L4: Mild disc bulge with no significant spinal canal stenosis. Mild bilateral neural foraminal narrowing. L4-L5: No significant disc disease. No spinal canal or right neural foraminal stenosis. There is bilateral facet arthropathy. Minimal left neural foraminal narrowing.L5-S1: Mild disc bulge eccentric to the right with mild right neural foraminal narrowing. There is contact of the right L5 nerve root without clear impingement. No significant spinal canal or left neural foraminal narrowing. There is facet arthropathy, worse on the right.Paraspinous soft tissues are within normal limits. Mild degenerative changes at the sacroiliac joints are also noted, worse on the right.
1. Mild degenerative changes in the lumbar spine. There is no significant spinal canal stenosis at any level. There is mild neural foraminal stenosis including the bilateral L3-L4 and right L5-S1 levels as detailed above. No high-grade neural foraminal stenosis at any level.2. Moderate facet arthropathy at the L4-L5 and L5-S1 level, slightly worse on the right than the left, which may be contributing to patient's low back pain.