Spinal stenosis, lumbar radiculopathy Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Mild degenerative changes are seen including mild disc desiccation at the L4-L5 and L5-S1 levels. Individual levels 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: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L4-L5: Mild disc bulge and dorsal annular fissure. No spinal canal or neural foraminal stenosis. There is bilateral facet arthropathy.L5-S1: There is mild disc bulge with small right-sided protrusion component. There is minimal effacement of the right lateral recess. No central spinal canal or neural foraminal stenosis. There is bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. Minimal degenerative changes in the lumbar spine. There is minimal effacement of the right lateral recess at the L5-S1 level with mild disc bulge contacting the right S1 nerve root, but without clear evidence of impingement. There is otherwise no significant spinal canal or neural foraminal stenosis at any level.2. Facet arthropathy involving the lower lumbar spine which may be contributing to low back pain.