Chronic back pain with signs of nerve impingement. There is multilevel degenerative spondylosis. At T12-L1, there is loss of disc space height and fatty endplate signal in the T12 vertebral body, but no significant spinal canal or neural foraminal stenosis. At L1 through L4, there is no significant spinal canal or neural foraminal stenosis either. At L4-5, there is a disc bulge, mild facet hypertrophy bilaterally, and ligamentum flavum thickening with mild neural foraminal stenosis, but no significant spinal canal narrowing. At L5-S1, there is a disc bulge, mild facet hypertrophy bilaterally, and ligamentum flavum thickening with mild neural foraminal stenosis, but no significant spinal canal narrowing. The vertebral column alignment is within normal limits. The vertebral body heights are preserved, aside from a Schmorl node in the inferior T11 vertebral body. There is no evidence of tumors. The imaged portions of the spinal cord display normal signal and morphology. The paravertebral soft tissues are unremarkable.
Degenerative spondylosis, with mild bilateral neural foraminal narrowing at L4-5 and L5-S1, but no significant spinal canal stenosis.