Right buttock pain and right heel numbness, evaluate for nerve root impingement Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Small disk bulge is seen at the T12-L1 level without significant stenosis. Multilevel degenerative changes are seen, as described below:L1-L2: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L3-L4: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disk bulge. No spinal canal or neural foraminal stenosis.L5-S1: Disk dessication and minimal bulge. Mild endplate degenerative changes. There is minimal right neural foraminal narrowing. No significant spinal canal or left neural foraminal narrowing. There is mild facet arthropathy throughout the lumbar spine. Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the lumbar spine with minimal right sided neural foraminal narrowing at L5-S1. No obvious impingement of the exiting right L5 nerve root. Spinal canal and neural foramina in the lumbar spine are otherwise patent.2. Mild multilevel facet arthropathy.