Lumbago. Thoracic or lumbosacral neuritis or radiculitis, unspecified. Absent left L4 transverse process on plain film exam. Evaluate for underlying tumor The transverse processes are intact with no obvious lesions. No abnormal foci of enhancement are appreciated throughout the lumbar spine.Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. No abnormal enhancing lesions are appreciated in the lumbar spine. There is multilevel disc desiccation present and straightening of the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level associated with some facet and ligamentum flavum hypertrophy. There are perineural cysts present in the spinal canal at this level.At L4-5 there is diffuse disc bulge associated with bilateral facet and ligamentum flavum hypertrophy and effacement of the fat at the lateral recess bilaterally. There is mild anterior subluxation of L4 on L5. Overall there is a moderate degree of spinal stenosis present at this levelAt L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are multilevel degenerative changes present in lumbar spine with a moderate degree of spinal stenosis present at L4-5 where there is mild subluxation as well as facet hypertrophy and diffuse disc bulge.2.The left L4 transverse process is intact with no evidence for marrow replacing lesion to suggest metastatic disease