Lower back pain, bilateral foot numbness with exercise. For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the L1-L2 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: minimal ligamentum flavum thickening, no neuroforaminal narrowing or spinal stenosis. L2-L3: minimal ligamentum flavum thickening, no neuroforaminal narrowing or spinal stenosis. L3-L4: minimal ligamentum flavum thickening, no neuroforaminal narrowing or spinal stenosis. L4-L5: dessication of disc. Minimal ligamentum flavum thickening, facet joint osteophytes with minimal bulging of disc causing minimal spina canal stenosis. Especially there is disc bulging toward left side neural foramen causing mild neuroforaminal narrowing. L5-S1: disc dessication with diffuse minimal bulging of disc. No neuroforaminal narrowing or spinal stenosis.
1. Disc dessication and degeneration, L45 and L5S12. Mild spinal stenosis at the level of L45 with left L45 neuroforaminal mild narrowing as described above.