Low back pain for months and right hip pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits aside from straightening of lumbar lordosis, which may be in part positional. Bone marrow signal is benign. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: There is disc desiccation and bulge, with small right foraminal/extraforaminal protrusion. There is contact of the exiting right L5 nerve root. There is mild right and minimal left neural foraminal narrowing. Spinal canal is patent.Paraspinous soft tissues are within normal limits.
Small disc protrusion at the right L5-S1 level with contact of the right L5 nerve root in the foramen and extraforaminally. No definite evidence of impingement but can be correlated with clinical findings. Spinal canal and neural foramina at the remainder of the lumbar levels are patent.