Low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild dextrocurvature at the thoracolumbar junction and mild levocurvature of the lower lumbar spine. Trace retrolisthesis is present at L2-L3 and L3 on L4. Bone marrow signal is heterogeneous which is nonspecific but without discrete destructive osseous lesions evident. There are also bone marrow signal changes involving the endplates, particularly type I Modic changes at the L2-L3 level, related to degenerative disease. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: Mild disc bulge and mild facet arthropathy without spinal canal or neural foraminal stenosis. L2-L3: Degenerative edematous endplate changes and vacuum phenomena evident at the disc space. There is a disc bulge and facet arthropathy contributing to mild central spinal canal stenosis. There is moderate left and minimal right neural foraminal stenosis.L3-L4:. Mild disc bulge and facet arthropathy contribute to mild spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosisL4-L5: Mild disc bulge, ligamentum flavum thickening and facet arthropathy with mild to moderate spinal canal stenosis. There is mild to moderate right neural foraminal stenosis. Minimal left neural foraminal narrowing.L5-S1: Mild disc bulge and moderate bilateral facet arthropathy. There is no significant spinal canal stenosis. Neural foramina are also patent.
Moderate degenerative changes throughout the lumbar spine. Mild to moderate spinal canal stenosis is present at L4-L5. There is multilevel facet arthropathy, relatively worse at the L5-S1 level, which may also be contributing to patient's low back pain.Additional details as above.