Radiculopathy. Right lower extremity pain and weakness. Examination quality is suboptimal due to patient's body habitus. 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.There is mild multilevel disc desiccation with minimal disc bulges. Additional details as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis. Mild facet arthropathy.L3-L4: Minimal disc bulge and mild facet arthropathy. No spinal canal or neural foraminal stenosis.L4-L5: Small Schmorl's node involving the inferior endplate on the right. Mild disc bulge and moderate bilateral facet arthropathy. Mild effacement of the right lateral recess. No significant central spinal canal stenosis. There is mild to moderate bilateral, right greater than left, neural foraminal stenosis.L5-S1: Minimal disc bulge and moderate facet arthropathy. No significant spinal canal stenosis. Mild bilateral neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Mild multilevel degenerative changes in the lumbar spine with no significant spinal canal stenosis at any level. There is mild to moderate bilateral, right greater than left, L4-L5 neural foraminal stenosis and mild bilateral L5-S1 neural foraminal stenosis. No high-grade neural foraminal stenosis at any level. 