52 year old female patient with left leg pain. Evaluate for lumbar radiculopathy. 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.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. Mild facet arthropathy and mild left neuroforaminal stenosis. No spinal canal stenosis.L2-L3: No significant disc disease. Bilateral facet arthropathy and ligamentum flavum thickening without spinal canal or neuroforaminal stenosis.L3-L4: There is disc dessication and loss of height. There is posterior disc bulge, bilateral ligamentum flavum thickening, and facet arthropathy causing mild spinal canal stenosis and left greater than right neuroforaminal stenosis. L4-L5: There is disc dessication and loss of height. There is posterior disc bulge, bilateral ligamentum flavum thickening, and advanced facet degeneration causing moderate spinal stenosis and mild to moderate neuroforaminal stenosis. There is some crowding of the cauda equina. There are small synovial cysts projecting posteriorly.L5-S1: No significant disc disease. Minimal posterior disc bulge and mild facet arthropathy. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Spondylosis of the lumbar spine most particularly affecting L4/L5 with moderate spinal canal stenosis and mild to moderate neuroforaminal stenosis. 