Low back pain bilateral leg pain altered gait. There is multilevel degenerative spondylosis. At L5-S1, there is an eccentric left disc protrusion that impinges upon the nerve roots in the left lateral recess and results in mild left neural foraminal narrowing medially. There is also slight anterolisthesis and facet hypertrophy that contribute to neural foraminal narrowing bilaterally. At L4-5, disc bulging and facet hypertrophy result in effacement of the bilateral lateral recesses and narrowing of the central spinal canal, as well as mild neural foraminal narrowing bilaterally. At L3-4, there is a disc bulge and superimposed small eccentric left protrusion and mild bilateral facet hypertrophy that results in mild spinal canal and neural foraminal narrowing bilaterally. At L2-3, there is a disc bulge and superimposed and bilateral facet hypertrophy that results in mild spinal canal and neural foraminal narrowing bilaterally. At L1-2, there is mild disc bulging, with slight left neural foraminal narrowing, but no significant right neural foraminal or spinal canal narrowing. There is no significant degenerative disease at T12-L1. There is mild lumbar levoscoliosis. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The imaged portions of the spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a partially imaged right renal lesion.
1. Multilevel degenerative spondylosis, which is most pronounced in the lower lumbar spine, left worse than right. 2. Partially imaged right renal lesion. Renal ultrasound may be useful for further evaluation.