Diagnosis: Pain in limbClinical question: assess for lumbar stenosisSigns and Symptoms: intermittent weakness in the legs 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 a mild disc bulge present at this level. There is disc desiccation present at this level as well as some mild chronic endplate reactive changes.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is some mild loss of disc space height and disc desiccation associated with a diffuse disc bulge and mild ligamentum flavum hypertrophy. There is some signal hyperintensity within the posterior aspect of the annulus of the disc at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There are some mild disc desiccation and a disc bulge present at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.At T11-T12 there is a mild disc bulge present
1.There are degenerative changes present in the lumbar spine without significant compromise to lumbar spinal canal or neural foramina.