Bilateral L5 radiculopathy. There is a disc bulge and facet joint hypertrophy at L4-5 that results in moderate right and severe left neural foraminal stenosis. There is also a disc bulge at L3-4 that results in moderate right and mild left neural foraminal stenosis. In conjunction with epidural lipomatosis at these levels, there is moderate spinal canal stenosis at these levels. There is no significant spinal canal or neural foraminal stenosis at the other lumbar spine levels. There are intravertebral disc herniations in the inferior L3 and L4 vertebral bodies with associated adjacent bone marrow degenerative signal alterations. The vertebral body heights are otherwise preserved. There is a punctate posterior right facet joint synovial cyst at L1-2. There is straightening of the lumbar spine alignment in the sagittal plane, but no spondylolisthesis. The imaged portions of the spinal cord appear to be unremarkable. There is a 20 mm wide probable cyst in the right kidney, although this is incompletely characterized.
1. A disc bulge and facet joint hypertrophy at L4-5 results in moderate right and severe left neural foraminal stenosis. Likewise, a disc bulge at L3-4 results in moderate right and mild left neural foraminal stenosis. In conjunction with epidural lipomatosis at these levels, there is moderate spinal canal stenosis at these levels.2. A 20 mm wide probable cyst in the right kidney is incompletely characterized. A renal ultrasound may be useful for further evaluation.