Male, 41 years old, with back pain. Assess for herniated disc. Spinal alignment is anatomic. Vertebral body height and morphology is within normal limits. No pathologic marrow replacement or evidence of marrow edema is seen.The visualized spinal cord, conus and nerve roots of the cauda equina are unremarkable.Loss of disc T2 signal and slight loss of height are evident at L4-5 and L5-S1. Additional level specific findings are as follows:L1-2: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L2-3: Moderate facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L3-4: Moderate facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L4-5: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. Mild spinal canal stenosis which primarily affects the lateral recesses. Mild bilateral foraminal narrowing. L5-S1: Moderate facet hypertrophy. Mild bulging disk. No significant spinal canal stenosis. Moderate right and mild left foraminal narrowing.
Mild to moderate facet arthropathy and mild disc degeneration at lower lumbar levels. No evidence of any frank disc herniation, significant spinal canal or neuroforaminal stenosis is seen.