Male, 53 years old, complaining of low back pain. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No concerning marrow replacement or marrow edema is seen.The distal spinal cord, conus and nerve roots of the cauda equina are within normal limits. No epidural abnormalities are suspected.Incidental note is made of small multicystic kidneys. There are more cysts now when compared to the prior examination.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. No interval changes. L2-3: No significant spinal canal stenosis or neuroforaminal narrowing. No interval changes. L3-4: No significant spinal canal stenosis or neuroforaminal narrowing. No interval changes. L4-5: Mild facet arthropathy. No significant spinal canal or neuroforaminal narrowing. No interval changes. L5-S1: Mild facet arthropathy. Minimal foraminal narrowing bilaterally. No significant spinal canal stenosis. No interval changes.
No significant spinal canal stenosis is seen. Only minimal foraminal narrowing is evident at L5-S1, unchanged from prior. Multicystic appearance of the kidneys has progressed from prior.