Low back pain x14 years. Patient has difficultly lying flat due to pain, but is willing to try for this test. The less time the better. 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 loss of disk space height, disk dessication and a diffuse disk bulge at this level. There is T2 signal hyperintensity within the posterior half of the disk. Disk material minimally abuts the nerve root sleeve at the right lateral recess at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height, disk dessication and a broad-based small central disk protrusion at this level. There is T2 signal hyperintensity within the disk protrusion.At L3-4 there is no significant compromise to spinal canal or neural foramina.At 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.Incidental note is made of fatty filum distally.
There is degenerative disk disease present in the lower lumbar spine which is worse at L5-S1 without significant compromise to the spinal canal or nerve roots as detailed above.