46-year-old woman with history of radiculopathy. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Along the anterior inferior endplate of L4, there is a small area of degenerative, edematous signal. Bone marrow signal is slightly heterogeneous but benign. There is disc desiccation at L4/L5 and L5/S1. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: There is a disc bulge without spinal canal or neural foraminal stenosis.L3-L4: There is a disc bulge with mild disc desiccation and minimal left neural foraminal narrowing, no right neural foraminal narrowing, and no spinal canal stenosis.L4-L5: There is a disc bulge and disc desiccation. There is minimal right neural foraminal narrowing but no left neural foraminal narrowing or spinal canal stenosis.L5-S1: There is a disc bulge with disc desiccation. There is minimal right neural foraminal narrowing but no left neural foraminal narrowing or spinal canal stenosis.The paraspinous soft tissues are within normal limits.
Mild multilevel degenerative disc disease without significant neural foraminal compromise or spinal canal stenosis.