Male, 45 years old. Reason: eval for nerve root compression History: R side LBP There is moderate motion degradation. Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with mild loss of the normal lumbar lordosis. The vertebral body heights are well-maintained. There is a 1.5 cm focal area of T1 and T2 hyperintensity within the T12 vertebral body, compatible with a hemangioma. The conus medullaris is grossly intact, terminating at approximately the L1-2 level.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is mild disc desiccation and minimal disc bulge, with no significant central canal narrowing and minimal bilateral neural foraminal narrowing.L4-5: There is disc bulge and mild bilateral facet joint hypertrophy with no significant central canal narrowing and mild to moderate neural foraminal stenosis, left greater than right.L5-S1: There is disc height loss and associated endplate marrow signal changes as well as some edema within the disc which is likely on a degenerative basis. There is associated disc bulge as well as mild bilateral facet hypertrophy with mild right neural foraminal narrowing, mild to moderate left neural foraminal narrowing, and no significant central canal stenosis.
Multilevel degenerative changes without significant central canal stenosis at any level. Mild to moderate foraminal narrowing at L4-5 and L5-S1 as detailed above.