Right lower extremity pain. Right sciatica. Evaluate for radiculopathy. Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. A benign hemangioma is evident in the L3 vertebral body. There is mild-to-moderate disc space narrowing at L5-S1, otherwise disc heights are preserved. Endplate edema at L5-S1. The conus medullaris appears normal and terminates at the L1-2 level.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-5: Mild facet hypertrophy and mild bilateral foraminal narrowing. No significant spinal canal stenosis. L5-S1: Mild facet arthropathy and bilateral mild-to-moderate neural foraminal narrowing. Broad-based disc bulge with osteophytic ridging. No significant spinal canal stenosis.
Facet hypertrophy and bilateral foraminal narrowing at L4-5 and L5-S1 as described above.