Reason: evaluate for impingement from DJD History: RLE weakness and chronic back pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal. There is mild bilateral facet and ligamentum flavum hypertrophy at this level associated with a disk bulge and disk dessication. There is partial effacement of the fat at the right lateral recess and partial effacement of the facet surrounding the exiting nerve roots at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height and a disk bulge at this level associated with mild facet and ligamentum flavum hypertrophy. There is mild narrowing of the neural foramina at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are mild degenerative changes in the lower lumbar spine with mild encroachment of the nerve roots at the left lateral recess and bilateral neural foramina at L5-S1.