Low back pain and radicular symptoms: evaluate for nerve root involvement. There are mild disc bulges and facet hypertrophy at L4-5 and L5-S1 with mild to moderate neural foraminal stenosis bilaterally, but no significant spinal canal stenosis. However, there is also edema in the paraspinal soft tissues adjacent to the right L4-5 facet joint. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. There are hypertrophic changes in the bilateral sacroiliac joints with bridging osteophytes. The spinal cord displays normal signal and morphology.
1. Degenerative spondylosis at L4-5 and L5-S1 with mild to moderate neural foraminal stenosis bilaterally and signs of right L4-5 facetitis.2. Findings suggestive of bilateral sacroiliitis.