Diagnosis: Low back painSigns and Symptoms: RLE neuropathy 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 a left lateral recess disk protrusion at this level which mildly encroaches on the nerve roots at the left lateral recess.At L4-5 there is a right paramedian broad based disk extrusion which effaces the fat at the right lateral recess and compresses the thecal sac. It is associated with bilateral facet and ligamentum flavum hypertrophy as well as moderate spinal stenosis. There is loss of disk space height at this level. There is disk dessication at this level.At L3-4 there is a focal central disk extrusion associated with bilateral facet and ligamentum flavum hypertrophy as well as moderate spinal stenosis. Some disk material tracks behind the L3 inferior endplate and vertebral body There is loss of disk space height at this level. There is disk dessication 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.
1.There is spinal stenosis at L4-5 affecting the nerve roots at the right lateral recess more than the left lateral recess as described above.2.There is spinal stenosis at L3-4 as described above.3.There is mild encroachment of the nerve roots at the left lateral recess at L5-S1 due to a disk protrusion.