Female, 50 years old, with radicular pain and positive straight leg raise, left worse than right. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen.The visualized spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.The L5-S1 disc demonstrates reduced T2 signal and a mild reduction in height. Mild diffuse disc bulging is seen at this level with mild bilateral foraminal narrowing but no significant spinal canal stenosis. Mild facet arthropathy is also seen at this level.At L4-5, there may be a very small right foraminal protrusion which slightly narrows the neural foramen.The remaining intervertebral discs are preserved. The spinal canal and neural foramina are otherwise patent.
1.Disc degeneration is evident at L5-S1 with disc desiccation, mild loss of disc height and mild disc bulging. At most, this results in mild bilateral foraminal narrowing.2.No significant findings are seen at the remaining levels.