Reason: h/o lumbar stenosis History: back pain, leg pain, leg numbness Five lumbar type vertebral bodies are presumed to be present. The conus medullaris on sagittal imaging is grossly intact. There is approximate 25% loss of vertebral body height at L2 related to superior endplate compression with a mild retropulsion and there is mild intra-subluxation of L4 on L5. There is multilevel disk desiccation isAt L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge at this level associated with mild ligamentum flavum and facet hypertrophy.At L4-5 there is diffuse disk bulge associated marked bilateral facet and ligamentum flavum hypertrophy with associated effacement of the fat at the lateral recesses and a moderate to severe degree of spinal stenosis. There is associated narrowing of the neural foramina bilaterally are partial effacement of the fat surrounding the exiting nerve roots within the neural foramina. There is associated mild anterior subluxation of L4 on L5.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this level and a minor disk bulge.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a small cyst present in the right kidney measuring 6 mm in diameter.
1.There is moderate to severe spinal stenosis at L4-5 related to degenerative changes.2.There is a benign-appearing chronic compression fracture at L2.