Female, 39 years old, with low back pain. Spinal alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement or marrow edema is detected.The visualized spinal cord, conus and nerve roots of the cauda equina are unremarkable.Loss of T2 signal is seen within the L4-5 and L5-S1 disk spaces. Additional level specific findings are as follows:L1-2 through L3-4: Unremarkable.L4-5: Mild facet hypertrophy and ligamentum flavum thickening. Central disk protrusion without evidence of nerve impingement or significant spinal canal stenosis. No significant neuroforaminal narrowing. L5-S1: Mild facet hypertrophy. Right paracentral annular fissuring and small protrusion. No evidence of nerve root impingement or significant spinal canal stenosis. No significant neuroforaminal narrowing. A perineural root sleeve cyst is present in the lower sacral spinal canal.
Mild degenerative disk disease at L4-5 and L5-S1 with small disk protrusions at both levels. There is no evidence of any nerve root impingement or significant spinal canal or foraminal stenosis.