 Bone marrow appears benign. There is a minimal spondylolisthesis of L4 on L5. The vertebral bodies height appears normal. The conus medullaris ends at the level of L1. There are no paraspinal abnormalities.At the level of T12-L1 there is no evidence of spinal or nerve root compromise. At the level of L1-L2 there is no evidence of spinal or nerve root compromise.At the level of L2-L3 there is no evidence of spinal or nerve root compromise. There is mild hypertrophy of the ligamentum flavum and mild facet hypertrophy bilaterally.At the level of L3-L4 there is mild disc bulge with no evidence of spinal or nerve root compromise. There is a thickening of the ligamentum flavum. There is mild right facet hypertrophy and moderate left facet hypertrophy.At the level of L4-L5 there is mild disc bulge with no evidence of spinal compromise. There is mild bilateral neural foraminal narrowing. There is bilateral severe facet hypertrophy with small right facet effusion. There is hypertrophy of the ligamentum flavum.At the level of L5-S1 there is mild disc bulge with no evidence of spinal or nerve root compromise. There is moderate right facet hypertrophy and mild left facet hypertrophy.
Minimal spondylolisthesis of L4 on L5. At this level there is mild bilateral neural foraminal narrowing with bilateral severe facet hypertrophy containing a small right facet effusion.