Clinical question: Rule out radiculopathy. Signs and symptoms: Weakness, back pain. Nonenhanced lumbar MRI:T11-T12 is unremarkable.T12-L1 is unremarkable other than mild degenerative changes.T2-T3 demonstrate mild degenerative changes and unremarkable otherwise.T3-T4 demonstrate mild degenerative disc disease and mild bilateral facet and ligamentum flavum hypertrophy. There is no central spinal stenosis or neural foraminal compromise.L4-L5 demonstrate mild disc disease and loss of disc height, mild bilateral facet and ligamentum flavum hypertrophy and including mild right facet effusion. No central spinal stenosis or neural foraminal compromise.L5-S1 demonstrate moderate disc disease and loss of disc height, grade 1 anterolisthesis, mild bilateral facet and ligamentum flavum hypertrophy and including mild left facet effusion. No central spinal stenosis however severe left and moderate to severe right neural foraminal compromise is detected.There is normal signal intensity and caliber of the lower most visualized thoracic cord. There is normal signal intensity of the cauda equina.Unremarkable paraspinal soft tissues.
1.Degenerative changes at L5-S1 with resultant grade 1 anterolisthesis, significant bilateral neural foraminal compromise ( L>R ) and without central spinal stenosis.2.Mild degenerative changes at other levels however without spinal stenosis or neural foraminal