Low back pain, radiculopathy lumbar right side. 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 heterogeneous which is nonspecific but without discrete suspicious lesions. The conus medullaris is normal in position.Multilevel degenerative changes are seen including multilevel disc desiccation. Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disc bulge. No spinal canal or left neural foraminal stenosis. Minimal right foraminal stenosis. L3-L4: Minimal disc bulge. No significant spinal canal stenosis. Minimal right neural foraminal narrowing. No significant left neural foraminal narrowing.L4-L5: There is mild disc bulge eccentric to the right. There is a left sided annular fissure. No significant spinal canal stenosis. There is mild right and minimal left neural foraminal stenosis. There is mild facet arthropathy, worse on the right. There is enhancement surrounding the right facet joint which is likely on a degenerative basis. There is mild bone marrow edema involving the posterior elements on the right.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis.No suspicious enhancement in the lumbar spine. Small multilevel perineural cysts are incidentally noted. Paraspinous soft tissues are within normal limits.
1. Mild multilevel degenerative changes in the lumbar spine as detailed above with minimal to mild neural foraminal stenosis, relatively worse at the right L4-L5 level. No significant spinal canal stenosis at any level.2. Facet arthropathy at the right L4-L5 level with mild associated enhancement, which is likely on a degenerative basis and may be contributing to patient's low back pain.