Low back pain, 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.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. Mild bilateral facet arthropathy.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild bilateral facet arthropathy.L4-L5: Disc desiccation without significant loss of height. There is moderate facet arthropathy bilaterally, particularly on the right. There is minimal bilateral neural foraminal narrowing. No significant spinal canal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Paraspinous soft tissues are within normal limits. There is a 2.9 cm cystic structure which is partially visualized and presumably and an adnexal cyst. Degenerative changes at the sacroiliac joints also noted.
1. Mild degenerative changes in the lumbar spine with minimal bilateral neural foraminal narrowing at L4-L5. Otherwise no significant spinal canal or neural foraminal stenosis at any level.2. Multilevel facet arthropathy, relatively worse at L4-L5 which may be contributing to patient's low back pain.