38-year-old female who presents with lumbar radiculopathy. For the purposes of numbering, there are 5 lumbar type vertebral bodies. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No focal marrow signal abnormality is appreciated. The conus medullaris on sagittal imaging is grossly intact. Incidentally noted is a small right adrenal nodule which is not well assessed on the current study.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is disc desiccation and mild bulge eccentric to the right and extending into the neural foramina without significant central spinal canal stenosis. There is moderate right neuroforaminal stenosis with possible impingement of the L3 exiting nerve root. There is also mild left neuroforaminal stenosis. L4-5: There is no significant compromise to spinal canal or neural foramina.L5-S1: There is mild disc protrusion without significant central spinal canal or neuroforaminal stenosis.
Mild degenerative changes of the lumbar spine with disc bulge at L3-4. There is associated moderate right and mild left neural foraminal stenosis. There may be impingement of the exiting L3 nerve roots at this level, particularly on the right.