Male, 75 years old, with back pain radiating to the right leg, so severe that it requires narcotics. Alignment is anatomic. There is mild anterior wedging of the T12 vertebral body without edema. The remaining vertebral bodies demonstrate normal height and morphology. No concerning marrow replacement is detected. Mild edema is seen along the superior L3 endplate.The visualized spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Loss of disc T2 signal and mild disc bulging. No significant spinal canal or foraminal stenosis. L3-4: Mild facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L4-5: Facet arthropathy and ligamentum flavum thickening. Loss of disc T2 signal and mild disc bulging. No significant spinal canal stenosis. Mild right and moderate left foraminal narrowing. L5-S1: Facet arthropathy and ligamentum flavum thickening. Bulging disc with a small central disc protrusion. No significant spinal canal stenosis. Moderate to severe bilateral foraminal narrowing.
1.Moderate to severe bilateral foraminal narrowing is evident at L5-S1 due to a combination of disc and posterior element degeneration.2.Moderate left and mild right foraminal narrowing is seen at L4-5.3.No significant spinal canal stenosis is detected.