Low back pain radiating to left leg. There is a patchy area of bone marrow edema in the left L5 pedicle, adjacent to mild facet joint arthropathy. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved, aside from small intravertebral disc herniations at multiple levels and minimal chronic anterior wedging of the T12 vertebral body. There are mild anterior endplate degenerative signal alterations at T12 and L2. There is no significant spinal canal or neural foraminal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
A patchy area of bone marrow edema in the left L5 pedicle may represent inflammation related to facet degenerative disease or perhaps microfracture. Otherwise, no significant spinal canal or neural foraminal stenosis in the lumbar spine.