Reason: low back pain History: low back pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is disk desiccation present at this level as well is a mild diffuse disk bulge and loss of disk space height.At L4-5 there is loss of disk space height, disk desiccation and diffuse disk bulge at this level associated with ligamentum flavum hypertrophy and triangulation of the thecal sac. Overall there is a mild degree of spinal stenosis present this level. The fact that the lateral recesses is not effaced. The surrounding the exiting nerve roots within the neural foramina is not effaced.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this levelAt L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.Multilevel degenerative changes present in the lumbar spine without significant compromise to spinal canal or neural foramina . There is mild spinal stenosis present at L4-5 due to degenerative changes.