Back pain and leg pain. Acquired spondylolisthesis, evaluate for nerve impingement. Five lumbar type vertebral bodies are presumed to be present. There is multilevel degenerative changes involving the vertebral bodies including endplate sclerosis and increased T2 STIR signal at L1-L2 endplate level compatible with mild bone marrow edema. There is minimal depression of superior endplate of L2 vertebra without definite height loss. Constellation of above findings are more likely represent degenerative disc disease related changes, however, L2 vertebral body non-height loss, partial compression fracture cannot be completely excluded.There is a grade 1 spondylolisthesis of L4 on L5. There is no infiltrative marrow process or worrisome lesions. The conus medullaris is normal in position and terminates at L1 level.Multilevel degenerative changes are seen, as described below:T12-L1: No significant disc disease or neural foraminal or spinal canal stenosis.L1-L2: There is mild disc bulge. There is bilateral facet arthropathy. There is no neural foraminal narrowing or significant spinal canal stenosis.L2-L3: This is diffuse disc bulging. There is facet arthropathy. There is no neural foraminal stenosis or significant stenosis.L3-L4: There is mild diffuse disc bulge. This doesn't have a particularly There is no significant neural foraminal narrowing or spinal canal stenosis.L4-L5: There is pseudo bulging of the disc due to spondylolisthesis. There is facet arthropathy and ligamentum flavum hypertrophy. This is left facet joint effusion. There is no significant neural foraminal stenosis. There is mild to moderate spinal canal stenosis.L5-S1: Mild diffuse disc bulge. Ligamentum flavum hypertrophy and facet arthropathy. There is mild bilateral neural foraminal narrowing. No significant spinal canal stenosis.Paraspinous soft tissues are within normal limits.
1. Multilevel degenerative disc changes involving the lumbosacral spine including endplate marrow signal changes at L1-L2 consistent with acute to subacute degenerative changes. Non height loss partial compression fracture of L2 cannot be completely excluded but less likely.2. Mild to moderate spinal canal stenosis at L4-L5.3. Grade 1 spondylolisthesis of L4 over L5.