Desiccation of intervertebral discs L4/L5 and L5/S1, with adjacent Modic type II changes.
Left paracentral L4/L5 disc extrusion with caudal migration, compressing left side of the thecal sac and causing compression of the left L5 spinal nerve root in the stenosed left lateral recess.
Posterior lumbar subcutaneous oedema is also noted.
Incidental findings of multiple uterine fibroids. The cystic lesion of 3.5 x 2.5 cm, adjacent to the uterus and most likely left ovary is - given the patient's age - almost certainly benign and requires no follow-up.