Reason: Low Back Pain that Radiates to Right Leg. History: Low Back Pain that Radiates to Right Leg. Vertebral body heights are within normal limits. There is mild retrolisthesis of L5 on S1. There is mild edema in the pedicles at L5-S1 on the right associated with facet arthropathy at this level. There is multilevel disc desiccation with mild disc space loss at L5-S1. No abnormal signal within the cord or conus which ends at L1-L2..T12-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Mild facet arthropathy. No spinal canal canal stenosis. Mild bilateral neural foraminal stenosis.L5-S1: Diffuse disc bulge. Right-sided facet arthropathy with minimal fluid distention producing moderate neuroforaminal stenosis and may be impinging on the L5 nerve root. A small synovial cyst is present posterior to the facet joint with surrounding inflammatory changes in the soft tissues. No left neural foraminal stenosis. No spinal canal stenosis. Atrophic left kidney with small cysts.
1.Mild degenerative changes, worst at L5-S1 where there is right-sided facet arthropathy and moderate right neural foraminal stenosis with possible impingement on the exiting right L5 nerve root.2.Prominent inflammatory changes in the soft tissues surrounding the right L5-S1 facet joint are likely degenerative in etiology.