Low back pain radiating to legs. Evaluate surgical materials. Five lumbar type vertebral bodies are presumed to be present. There is transitional morphology of the L5 vertebral body which articulates with the sacrum. The most inferior well-defined disc space is labeled L5-S1. There are postsurgical changes of laminectomy from the L3-L4 to the L5-S1 levels.Vertebral body heights are within normal limits. Alignment is within normal limits aside from mildly exaggerated lumbar lordosis. Bone marrow signal is benign. The conus medullaris is normal in position.Mild degenerative changes are seen with mild disc desiccation throughout the lumbar spine with minimal bulges. There is otherwise no significant disc disease, spinal canal stenosis, or neural foraminal stenosis at any level. There is moderate facet arthropathy at the L4-L5 and to a milder degree at L3-L4 and L2-L3 levels.Perineural cysts at the S2 vertebral level are incidentally noted and of doubtful clinical significance
1. There is no significant spinal canal or neural foraminal stenosis at any level. There is prominent facet arthropathy at the L4-L5 and to a lesser degree L3-L4 levels, which may be contributing to patient's low back pain. 2. Postsurgical changes and minimal additional degenerative changes as described above. 3. Transitional lumbosacral junction with sacralization of L5.