Chronic pain wakes up from sleep 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. There is mild motion degradation.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: Disc desiccation with mild bulge. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.There is also mild facet arthropathy throughout the lumbar spine, relatively worse at the L3-L4 and L4-L5 levels. Paraspinous soft tissues are within normal limits.
Mild multilevel degenerative changes in the lumbar spine as described above. There is no significant disc herniation or spinal canal or neural foraminal stenosis at any level.Mild multilevel facet arthropathy, relatively worse at the L3-L4 and L4-L5 levels, which may be contributing to patient's low back pain.