Right hip, low back pain, and right leg pain. There is disc space narrowing and bulging with superimposed eccentric left protrusion, as well as bilateral facet hypertrophy at L5-S1, with resultant compression of the descending nerve roots in the lateral recesses, left more than right. There is also mild right and mild to moderate left neural foraminal stenosis at this level. There is no significant spinal canal or neural foraminal stenosis at the other lumbar spine levels. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a hypointense mass in the uterus that measures up to 4.5 cm and several small probable Nabothian cysts and adnexal cysts.
1. Degenerative spondylosis at L5-S1 results in compression of the descending nerve roots in the lateral recesses, left more than right, as well as mild right and mild to moderate left neural foraminal stenosis at this level.2. Probable fibroid uterus and several small probable Nabothian cysts and adnexal cysts. Pelvic ultrasonography may be useful for further imaging.