Female, 69 years old, with left-sided sciatica pain. Alignment is grossly anatomic. Vertebral body morphology is unremarkable. No concerning areas of marrow replacement or marrow edema are seen.The visualized spinal cord, conus and cauda equina are unremarkable. No epidural abnormalities are seen.The lumbar intervertebral discs demonstrate loss of T2 signal but with relative preservation of height. Additional level specific findings are as follows:T12-L1: Mild disc bulging. No significant spinal canal or foraminal stenosis.L1-2: Unremarkable. L2-3: Mild facet arthropathy and ligamentum flavum thickening. Disc bulging with a broad protrusion which spans the right paracentral and foraminal zones. Partial effacement of the right lateral recess. Moderate right foraminal narrowing. No significant left foraminal narrowing. L3-4: Moderate facet arthropathy and ligamentum flavum thickening. Mild bulging disc. Mild generalized spinal canal narrowing. Mild bilateral foraminal narrowing. L4-5: Advanced facet arthropathy and ligamentum flavum thickening. Bulging disc. Moderate generalized spinal canal narrowing without clear evidence of nerve root impingement. Moderate left and mild right foraminal narrowing. L5-S1: Advanced facet arthropathy. Minimal disc bulging. No significant spinal canal or foraminal stenosis.
1.A broad disc protrusion involving the right paracentral and foraminal zones at L2-3 causes partial effacement of the right lateral recess and moderate right foraminal narrowing.2.Disc degeneration in combination with advanced facet arthropathy at L4-5 cause a moderate generalized spinal canal narrowing and moderate left foraminal narrowing.