Female, 45 years old. Reason: r/o spinal stenosis, r/o disc herniation History: bilateral leg pain, LBP Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. There are ill-defined foci of low T1 and T2 signal involving the T12 and L1 vertebral bodies, which are nonspecific. The conus medullaris on sagittal imaging is grossly intact.Mild disc bulges at T11-T12 and T12-L1. There is congenital narrowing of the lumbar spinal canal, worst at the L5-S1 level. Individual levels as below:L1-L2: There is disc bulge with a superimposed small left central disc protrusion with minimal associated central canal narrowing. No significant neural foraminal narrowing.L2-L3: No significant disc disease. No significant spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No significant spinal canal or neural foraminal stenosis.L4-5: No significant disc disease. No significant spinal canal or neural foraminal stenosis.L5-S1: There is moderate spinal canal stenosis which is primarily on a congenital basis with superimposed degenerative changes including mild disc bulge, thickening of the ligamentum flavum, and facet arthropathy. There is partial effacement of the lateral recesses. No significant neural foraminal stenosis.Note is made of right renal cysts.
1. Moderate spinal canal stenosis at L5-S1 which is primarily on a congenital basis, with superimposed degenerative changes including mild disc bulge, thickening of the ligamentum flavum, and facet arthropathy. No significant neural foraminal stenosis at any level.2. Ill-defined focus of low T1 and T2 signal involving the T12 vertebral body is nonspecific and can be correlated with prior studies if available. No osseous destructive lesions.