MRI
L4-5 disc osteophyte complex with a superimposed right extraforaminal disc herniation with displacement of the right L4 nerve root. Moderate right neural exit foraminal stenosis without flattening of the right L4 nerve root. Additional epidural fat and severe bilateral facet joint arthropathy results in moderate central canal stenosis. Mild left neural exit foraminal stenosis.
Degenerative disc and facet joint change at the lumbar other levels.