I am a 35yo female with lower back pain and

Patient

Q: I am a 35yo female with lower back pain and my right thigh goes numb with tingling or burning sensation. Recently my toes are going numb, and it's beginning to happen more frequently. I recently had an MRI w/o contrast. The following are the finding, could you please tell me what it may mean?

Normal vertebral height. No fracture, destructive bony process or acute bone marrow
signal abnormality. Slight left convex spinal curvature without spondylolisthesis or
spondylolysis. Disc desiccation and narrowing of the L4-5 disc space. Slight narrowing
of the right L2-3 and L3-4 disc spaces, as well. Normal distal spinal cord and paraspinal
soft tissues. Right extrarenal pelvis. Mild dependent edema in the dorsal subcutaneous
soft tissues.

At the T11-12 through L2-3 disc levels are normal.

L3-L4: Tiny generalized disc bulge. No associated spinal canal or neural foraminal
narrowing. Mild facet arthropathy.

L4-L5: Tiny shallow right foraminal disc protrusion mildly narrowing the right inferior
neural foramen. No spinal canal stenosis or left neural foraminal narrowing. Moderate
hypertrophic facet arthropathy.

L5-S1: No disc disease. No spinal canal or neural foraminal narrowing. Moderate
hypertrophic facet arthropathy.

IMPRESSION:
1. Tiny shallow L4-5 right foraminal disc protrusion with mild right neural foraminal
narrowing.

2. At least moderate hypertrophic facet arthropathy at L4-5 and L5-S1.

3. No spinal canal stenosis, greater than mild neural foraminal narrowing or spinal nerve
compromise.

Doctor

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