Low back pain, left leg pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is grossly maintained aside from perhaps minimal L2 on L3 and L5 on S1 retrolisthesis. Bone marrow signal is benign. The conus medullaris is normal in position.There is mild disc desiccation throughout the lumbar spine without significant height loss at any level. There is mild generalized facet arthropathy, relatively worse at the L4-L5 and L5-S1 levels. Additional details as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild diffuse disc bulge. No spinal canal or neural foraminal stenosis.L3-L4: Mild disc bulge eccentric to the left. No spinal canal or right neural foraminal narrowing. There is minimal narrowing of the left neural foramen and contact of the left exiting L3 nerve root.L4-L5: There is mild disc bulge with dorsal annular fissure and small central protrusion component. There is no significant spinal canal stenosis. There is mild to moderate right neural foraminal stenosis. Minimal narrowing of the left neural foramen. Mild facet arthropathy.L5-S1: Minimal disc bulge. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.Paraspinous soft tissues are within normal limits. There is left-sided hydronephrosis and hydroureter which can be further assessed with ultrasound as clinically indicated.
1. Fairly mild multilevel degenerative changes throughout the lumbar spine as described above. There is no spinal canal stenosis or high-grade neural foraminal narrowing at any level. There is minimal narrowing of the left L3-L4 and L4-L5 neural foramen and relatively greater narrowing at the right L4-L5 level. Additional details as above.2. At least moderate degree of left-sided hydronephrosis and hydroureter. Ultrasound can be considered for further evaluation as clinically indicated.