Radiating left side pain. Evaluate for foraminal stenosis. The vertebral column alignment is within normal limits. There is exaggerated lordosis with minimal grade 1 anterolisthesis of L4 on L5. The vertebral body and disc space heights are preserved. There is disc desiccation at the L3-4 and L4-5 levels. Heterogeneous bone marrow signal is visualized which is nonspecific. The spinal cord displays normal signal and morphology and terminates at the L1-L2 level. The paravertebral soft tissues are unremarkable. T11-12: As seen on sagittal view there is a trace disc bulge but no neural foraminal or central canal stenosis.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 a trace disc bulge without neuroforaminal or central canal stenosis.L3-L4: There is a trace disc bulge with mild-to-moderate facet hypertrophy and ligamentum flavum thickening. No neuroforaminal or central canal stenosis.L4-5: There is a mild disc bulge. Facet and ligamentum flavum hypertrophy is seen which along with prominent dorsal epidural fat causes mild to moderate central canal stenosis. There is also bilateral mild neural foraminal stenosis.L5-S1: There is a small disc bulge with mild facet and ligamentum flavum hypertrophy but there is no neural foraminal or central canal stenosis.Bilateral adrenal nodules are identified with thickening of the adrenal gland limbs bilaterally. The right adrenal nodule measures 1.1 x 2.0 cm and the left adrenal nodule measures 1.3 x 1.6 cm.
1.Degenerative changes mostly involving the lower lumbar spine, most prominent at the L4-5 level, where there is mild bilateral neural foraminal and mild-to-moderate central canal stenosis.2.Minimal degenerative grade 1 anterolisthesis of L4 on L5.3.Bilateral adrenal nodules which are nonspecific. If further evaluation is indicated, dedicated CT or MRI imaging may be obtained of the abdomen.