Multiple myeloma on clinical trial, right sciatic nerve pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is some straightening of the lumbar spine curvature which is otherwise normal in alignment. Bone marrow signal is benign without suspicious osseous lesions. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: There is a right foraminal and extra foraminal disc protrusion which contacts the right exiting L3 nerve root and mildly narrows the right neural foramen. No spinal canal or left neural foraminal stenosis.L4-L5: There is a small left sided annular fissure with small left foraminal disc protrusion with mild to moderate narrowing of the left neural foramen. No spinal canal or right neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the lumbar spine with small foraminal disc protrusions at the right L3-L4 and left L4-L5 levels. There is contact with the right L3 nerve root.2. No significant spinal canal stenosis or high-grade foraminal stenosis at any level.3. No suspicious osseous lesions in the lumbar spine. Please note small osseous lesions can be better assessed by CT.