Left pelvic pain For the purposes of numbering there are 5 lumbar type vertebral bodies labeled L1-L5. L5 vertebra demonstrates transitional anatomy with fusion involving the left L5 transverse process and sacrum. Vertebral body heights are within normal limits. There is minimal retrolisthesis of L1 on L2 and grade 1 anterolisthesis of L4 and L5. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen including disc desiccation and disc height loss. Individual levels as described below:L1-L2: Mild disc bulge eccentric to the right. No significant spinal canal stenosis. Mild right neural foraminal narrowing. No significant left neural foraminal narrowing. Mild facet arthropathy.L2-L3: Minimal disc bulge and mild facet arthropathy. There is minimal right neural foraminal narrowing. No significant spinal canal or left neural foraminal stenosis.L3-L4: There is annular fissure and central disc extrusion. There is also facet arthropathy and ligamentum flavum thickening. There is moderate spinal canal stenosis. There is moderate right and mild to moderate left neural foraminal stenosis.L4-L5: Disc covering on the right related to mild anterolisthesis. There is moderate facet arthropathy, right worse in left. There is partial effacement of the right lateral recess. There is no significant central canal stenosis. There is minimal right neural foraminal narrowing. No significant left neural foraminal stenosis.L5-S1: Minimal disc bulge. There is bilateral facet arthropathy. There is minimal left neural foraminal narrowing. No significant central spinal canal or right neural foraminal narrowing.Paraspinous soft tissues are within normal limits aside from mild fatty replacement/atrophy involving the lower lumbar paraspinous musculature. Mild degenerative changes are seen at the left sacroiliac joint.
1. Multilevel degenerative changes in the lumbar spine as detailed above, worst at the L3-L4 level, where there is moderate spinal canal stenosis, moderate right neural foraminal stenosis, and mild to moderate left neural foraminal stenosis. Additional levels as above. No higher grade of left-sided neural foraminal stenosis.2. Multilevel facet arthropathy, relatively worse at the L3-L4 and L4-L5 levels.3. Transitional L5 anatomy with fusion of the left transverse process with the sacrum. Mild degenerative changes at the left sacroiliac joint.