Low back pain with radicular symptoms. Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. There is loss of intravertebral disk height at the L1-L2 level with edematous marrow signal changes involving the adjacent vertebral bodies. Small Schmorl's nodes are noted at the superior endplates of L3 and L4. Small Tarlov cyst is present at the left S2 level. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: Loss of intervertebral disk space and mild disk bulge, eccentric to the right. There is mild right neural foraminal narrowing. No significant spinal canal or left 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: There is disk desiccation and small dorsal annular fissure. No spinal canal or neural foraminal stenosis.L5-S1: There is disk desiccation and small dorsal annular fissure. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.There is atrophy involving the left psoas muscle.
1. Degenerative changes in the lumbar spine particularly at the L1-L2 intervertebral disk level. There is mild right L1-L2 neural foraminal narrowing. Otherwise no significant spinal canal or neural foraminal stenosis is seen at any level. 2. Atrophy involving the left psoas muscle which may be related to advanced osteoarthritis involving the left hip joint.