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. Bone marrow signal is benign. The conus medullaris is normal in position.Minimal degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: There is small right foraminal disc protrusion involving the right neural foramen with mild foraminal stenosis. No significant spinal canal or left neural foraminal stenosis.L5-S1: There is a small left paracentral and foraminal disc protrusion with mild effacement of the left lateral recess. However no significant spinal canal or neural foraminal stenosis is appreciated. Paraspinous soft tissues are within normal limits. Mild facet arthropathy is seen in the lumbar spine relatively worse at the L5-S1 level.
1. Minimal degenerative changes in the lumbar spine including mild right neural foraminal narrowing at L4-L5 related to small disc protrusion. Otherwise there is no significant spinal canal or neural foraminal stenosis.2. Mild facet arthropathy, relatively worse at the L5-S1 level, which may be contributing to patient's low back pain.