Clinical question: 64-year-old female with lumbar degenerative disease. Signs and symptoms: LLE radiculopathy. Nonenhanced lumbar MRI:T11-T12 is unremarkable.T12-L1 demonstrate moderate disc disease and loss of disc height, mild broadbase bulging disc and mild facet and ligamentum flavum degenerative changes. No spinal stenosis or neural foraminal compromise.L1-L2 demonstrate mild degenerative changes without spinal or neural foraminal compromise.L2-L3 demonstrate mild disc disease and loss of disc height, mild diffuse bulging disc, moderate left and mild right facet and ligamentum flavum hypertrophy. No spinal stenosis or neural foraminal compromise.L3-L4 demonstrate mild disc disease and loss of disc height, left lateral and far lateral shallow broad-based disc protrusion, mild bilateral ligamentum flavum hypertrophy, mild bilateral facet disease and with evidence of mild bilateral facet effusion. Constellation of changes results in mild central spinal stenosis without neural foraminal compromise. There is however moderate left lateral recess compromise.L4-L5 demonstrate advanced disc disease and loss of disc height, diffuse broad base bulging disc, mild to moderate bilateral facet and ligamentum flavum hypertrophy. Constellation of changes results in moderate central spinal stenosis without significant neural foraminal compromise.L5-S1 demonstrate advanced disc disease and loss of disc height, mild bilateral facet and ligamentum flavum hypertrophy (R>L). There is no spinal stenosis however moderate bilateral (L>R) neural foraminal and lateral recess compromise is detected.No detectable. Spinal soft tissue abnormalities.
1.Degenerative changes of lumbar spine as detailed above with resultant moderate central spinal stenosis at L4-L5 and mild stenosis at L3-L4 levels.2.Neural foraminal and lateral recess compromise as detail per level above.