Sciatica, right side, with severe worsening pain, considering steroid injection Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is grossly normal limits with perhaps minimal L3-L4 anterolisthesis. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, with disc desiccation and height loss at L3-L4, L4-L5, and relatively worse at L5-S1. There is vacuum disc phenomenon at L5-S1. Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.L2-L3: Small left foraminal disc protrusion with mild left neural foraminal stenosis. No spinal canal or right neural foraminal stenosis. Mild bilateral facet arthropathy, worse on the right.L3-L4: Mild disc bulge. Bilateral facet arthropathy. There is minimal narrowing of the thecal sac in the anterior-posterior dimension, otherwise no significant spinal canal stenosis. Mild right neural foraminal stenosis. No significant left neural foraminal narrowing.L4-L5: Mild disc height loss. No significant spinal canal stenosis. Minimal right neural foraminal narrowing. No significant spinal canal or left neural foraminal narrowing. Mild bilateral facet arthropathy.L5-S1: Disc height loss and vacuum phenomena. Minimal bulge. No spinal canal or left neural foraminal stenosis. There is minimal right neural foraminal narrowing. Mild bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the lumbar spine. No high-grade spinal canal or high-grade neural foraminal stenosis is seen at any level. There is minimal to mild neural foraminal stenosis as described above. Disc height loss and endplate changes are worst at L5-S1.2. Facet arthropathy is seen at multiple levels, relatively worse at L3-L4, with also minimal anterolisthesis at this level.