Low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits aside from minimal retrolisthesis of L3 on L4. Bone marrow signal is benign including fatty endplate marrow signal changes at the L5-S1 level which are on a degenerative basis. The conus medullaris is normal in position.Multilevel degenerative changes are seen including disc desiccation from L2-L3 to L5-S1 with mild to moderate disc height loss at the L5-S1 level.Additional levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge eccentric to the right. Mild facet arthropathy. There is mild right neural foraminal stenosis. No spinal canal or left neural foraminal stenosis.L3-L4: Mild disc bulge slightly eccentric on the left. Mild facet arthropathy. There is mild left neural foraminal narrowing. No spinal canal or right neural foraminal stenosis.L4-L5: Disc bulge with small left foraminal protrusion. There is also moderate bilateral facet arthropathy. No significant spinal canal stenosis. There is mild to moderate left neural foraminal stenosis. Minimal right neural foraminal narrowing.L5-S1: Disc bulge and moderate facet arthropathy. No spinal canal stenosis. Mild bilateral neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
1. Multilevel degenerative changes in the lumbar spine without significant spinal canal stenosis at any level. 2. Overall relatively mild neural foraminal stenosis at multiple levels as detailed above.3. Prominent facet arthropathy at the L4-5 and L5-S1 levels which may be contributing to patient's low back pain.