Lumbar radiculopathy Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild dextrocurvature of the upper thoracic spine and mild levocurvature of the lower lumbar spine. There appears to be minimal anterolisthesis of L4 and L5. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, 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.L4-L5: There is mild disc bulge and advanced bilateral facet arthropathy with minimal anterolisthesis. There is also ligamentum flavum thickening. There is resulting mild spinal canal stenosis. There is mild bilateral, right relatively worse than left, neural foraminal stenosis.L5-S1: There is a disc bulge which is eccentric to the right with suggestion of a right lateral osteophyte component. There is advanced bilateral facet arthropathy. There is no significant central canal stenosis. However, there is partial effacement of the right lateral recess. There is mild right neural foraminal stenosis as well as contact of the right L5 nerve root extraforaminally with the right lateral disc osteophyte complex.Paraspinous soft tissues are within normal limits.
1. Mild degenerative changes in the lumbar spine, particularly at the L4-L5 and L5-S1 levels. There is mild spinal canal stenosis at the L4-L5 level. Otherwise no significant spinal canal stenosis in the lumbar spine.2. Neural foraminal narrowing is relatively worse at the right L4-L5 and right L5-S1 levels. There is also contact of the right L5 nerve with a laterally projecting disc osteophyte complex extraforaminally at the L5-S1 level as well as partial effacement of the lateral recess at the right L5-S1 level where there is contact of the right S1 nerve root. No high-grade neural foraminal stenosis at any level.3. Advanced bilateral facet arthropathy at L4-L5 and L5-S1. There is grade 1 anterolisthesis of L4 on L5.