Male, 54 years old, with right lower extremity weakness. Five fully lumbar type vertebral bodies are present with a transitional S1. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or marrow edema is observed.The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: No significant spinal canal stenosis or neuroforaminal narrowing. L3-4: Mild facet arthropathy. Mild disc bulging. No significant spinal canal compromise. Mild left foraminal narrowing. L4-5: Facet arthropathy and ligamentum flavum thickening. Disc bulging. Mild narrowing of the spinal canal. Mild bilateral foraminal narrowing. L5-S1: Facet arthropathy and ligamentum flavum thickening. Mild disc bulging. No significant spinal canal compromise.
Relatively mild degenerative findings are seen causing at most a mild spinal canal narrowing at L4-5 and scattered mild foraminal narrowing.