Right lumbar radicular pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Bone marrow signal is benign. There is grade 1 anterolisthesis of L4 and L5. Alignment is the lumbar spine is otherwise maintained. The conus medullaris is normal in position. There is desiccation of the L4-L5 and L5-S1 discs. Multilevel degenerative changes are seen with individual levels as below: Multilevel degenerative changes are seen, as described below:T12-L1: No significant disc disease. Mild bilateral facet arthropathy and ligamentum flavum thickening which partially effaces the lateral aspects of the thecal sac. Otherwise no significant spinal canal or neural foraminal stenosis.L1-L2: Mild bilateral facet arthropathy and ligamentum flavum thickening which partially effaces the left lateral aspect of the thecal sac. Otherwise no significant spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. Mild bilateral facet arthropathy and ligamentum flavum thickening which partially effaces the lateral aspects of the thecal sac. Otherwise no significant spinal canal stenosis. There is mild to moderate right neural foraminal stenosis. No significant left neural foraminal stenosis.L3-L4: Small right foraminal disc protrusion, mild bilateral facet arthropathy, and ligamentum flavum thickening. There is mild effacement of the left lateral thecal sac, otherwise no significant central canal stenosis. There is mild bilateral neural foraminal narrowing.L4-L5: There is mild disc bulge with dorsal annular fissure. There is advanced bilateral facet arthropathy. No significant central canal stenosis. There is mild to moderate bilateral, left greater than right, neural foraminal stenosis.L5-S1: There is mild disc bulge and mild facet arthropathy. No spinal canal stenosis. There is moderate to severe right neural foraminal stenosis where there may be impingement of the right L5 nerve root. Mild left neural foraminal narrowing.There is a large T2 hyperintense, cystic structure measuring greater than 12 cm in the right abdomen at the level of the right kidney.
1. Multilevel degenerative changes in the lumbar spine. Right-sided neural foraminal stenosis is worst at the L5-S1 level where there may be impingement of the right L5 nerve root. No high-grade spinal canal stenosis at any level. Additional levels as above.2. Large T2 hyperintense, cystic structure measuring greater than 12 cm in the right abdomen at the level of the right kidney. Consider ultrasound or CT for further assessment or comparison with prior imaging if available.