Female, 28 years old, with lumbosacral radiculopathy at L5. Alignment is anatomic. Vertebral body morphology and signal characteristics are within normal limits. The visualized distal spinal cord, conus and cauda equina are unremarkable.L1-2: Mild facet arthropathy with small facet joint cyst on the left. No significant spinal canal or foraminal stenosis. No interval changes. L2-3: Facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. No interval changes. L3-4: Facet arthropathy and ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. No interval changes. L4-5: Facet arthropathy and ligamentum flavum thickening. Mild loss of disc height and T2 signal. A right-sided subarticular disc protrusion is seen which effaces the right lateral recess and very likely impinges upon the descending right L5 nerve root. No significant interval change is seen in the size of this lesion. A mild generalized spinal canal narrowing is noted. The right neural foramen is moderately narrowed while the left remains patent. L5-S1: Facet arthropathy. Loss of disc height and T2 signal with mild disc bulging and a small central protrusion. No significant spinal canal or foraminal stenosis. No interval changes.
1.A right sided subarticular disc protrusion at L4-5 is unchanged relative to the prior examination. This lesion very likely impinges upon the descending right L5 nerve root.2.Relatively mild degenerative findings at other levels show no significant interval change.