Low back pain, sciatica 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.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge slightly eccentric to the left with minimal contact of the left descending L5 nerve root and minimal left neural foraminal narrowing. Otherwise no spinal canal or neural foraminal stenosis. Mild facet arthropathy.L5-S1: There is central disc protrusion with contact of the descending S1 nerve roots. Mild central spinal canal stenosis. Neural foramina are patent. Mild facet arthropathy.Paraspinous soft tissues are within normal limits.
Mild lumbar spine degenerative changes including central disc protrusion at the L5-S1 level with contact of the S1 nerve roots as well as minimal L4-L5 disc bulge. No high-grade spinal canal or neural foraminal stenosis at any level.