The bones are osteopenic. Multilevel decrease in the intervertebral disc space is seen, most pronounced at L4-L5, which is nearly fused now and progressed since the previous study. Narrowing of the disc space of L2-L3 is progressed since the previous study. Sclerosis of the endplates of L2-L3 and L5-S1 is seen that is also progressed since previous study. There is minimal anterolisthesis of L3 on L4. The degenerative cyst that was seen in the posterosuperior aspect of the T2 vertebral body in the previous study became sclerotic. The degenerative air-filled cyst that was seen previously in the inferior endplate of T12 is progressed. Vaccum phenomena are seen at the level of T12-L1, L2-L3, L3-L4, and L5-S1. Multilevel osteophyte formation are seen. Mild rightward convexity of the lower lumbar spine is seen. At T11-T12 there is bilateral facet hypertrophy with mild spinal stenosis and moderate neural foraminal stenosis bilaterally. At T12-L1 there is no spinal or neural foraminal compromise. At L1-L2 there is no spinal or neural foraminal compromise. At L2-L3 there is disc bulge with moderate to severe spinal stenosis that is progressed since the previous study. There is moderate neural foramina stenosis bilaterally, right more than the left. There is severe thickening of the ligamentum flavum and bilateral facet hypertrophy. At L3-L4 there is uncovering of the disc with superimposed mild disc bulge. There is severe spinal stenosis. There is hypertrophy of the ligamentum flavum and and the facets bilaterally. There is a moderate to severe right neural foraminal stenosis and mild to moderate left neural foraminal stenosis. At L4-L5 there is moderate disc bulging with moderate spinal stenosis. There is ligamentum flavum and bilateral facet hypertrophy, with facet autofusion since the prior exam. The upper portion of the lateral recesses are narrowed. There is mild to moderate left neural foraminal stenosis with no neural foraminal stenosis in the right. At L5-S1 there is mild spinal stenosis and moderate neural foraminal stenosis bilaterally. There is hypertrophy of the ligamentum flavum and bilateral facet hypertrophy. Ill defined thickening of the left adrenal gland is again seen. There are calcifications of the aorta.
clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'endplates': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'t2 vertebral body': {}}clinical findings_fin: {'degenerative cyst': {'clinical finding': 'degenerative cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'cyst'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative air-filled cyst': {'clinical finding': 'degenerative air-filled cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative air-filled', 'observation': 'cyst', 'change_term': 'filled'}}clinical findings_fin: {'vaccum phenomena': {'clinical finding': 'vaccum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vaccum', 'observation': 'phenomenon'}}clinical findings_fin: {'multilevel osteophyte': {'clinical finding': 'multilevel osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'}}anatomical entity_fin: {'convexity': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild rightward convexity of the lower lumbar spine is seen': {'clinical finding': 'mild rightward convexity of the lower lumbar spine is seen'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'spinal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'moderate to severe spinal stenosis': {'clinical finding': 'moderate to severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate neural foramina stenosis': {'clinical finding': 'moderate neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foramina', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe thickening': {'clinical finding': 'severe thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thickening', 'strength_term': 'severe'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'superimposed mild disc bulge': {'clinical finding': 'superimposed mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'superimposed mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'severe spinal stenosis': {'clinical finding': 'severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facets': {}}clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right neural foraminal stenosis': {'clinical finding': 'moderate to severe right neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'facet autofusion': {'clinical finding': 'facet autofusion', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'autofusion'}}anatomical entity_fin: {'lateral recesses': {}}location descriptor_fin: ['upper']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'ill defined thickening': {'clinical finding': 'ill defined thickening', 'existence': 'pos_dx', 'descriptive_term': 'ill defined', 'observation': 'thickening'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'osteopenic': {'clinical finding': 'osteopenic', 'existence': 'pos_dx', 'observation': 'osteopenic'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'fused': {'clinical finding': 'fused', 'existence': 'pos_dx', 'observation': 'fuse'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'endplates': {}}clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'minimal anterolisthesis': {'clinical finding': 'minimal anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'t2 vertebral body': {}}clinical findings_fin: {'degenerative cyst': {'clinical finding': 'degenerative cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'cyst'}, 'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}anatomical entity_fin: {'endplate': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'degenerative air-filled cyst': {'clinical finding': 'degenerative air-filled cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative air-filled', 'observation': 'cyst', 'change_term': 'filled'}}clinical findings_fin: {'vaccum phenomena': {'clinical finding': 'vaccum phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vaccum', 'observation': 'phenomenon'}}clinical findings_fin: {'multilevel osteophyte': {'clinical finding': 'multilevel osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'osteophyte'}}anatomical entity_fin: {'convexity': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild rightward convexity of the lower lumbar spine is seen': {'clinical finding': 'mild rightward convexity of the lower lumbar spine is seen'}}anatomical entity_fin: {'facet': {'location descriptor': 'bilateral'}, 'spinal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'spinal': {}, 'foraminal': {}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'moderate to severe spinal stenosis': {'clinical finding': 'moderate to severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe spinal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'foramina': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate neural foramina stenosis': {'clinical finding': 'moderate neural foramina stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foramina', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'severe thickening': {'clinical finding': 'severe thickening', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thickening', 'strength_term': 'severe'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'disc': {}}clinical findings_fin: {'superimposed mild disc bulge': {'clinical finding': 'superimposed mild disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'superimposed mild disc', 'observation': 'bulge', 'strength_term': 'mild'}}clinical findings_fin: {'severe spinal stenosis': {'clinical finding': 'severe spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal', 'observation': 'stenosis', 'strength_term': 'severe'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facets': {}}clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'moderate to severe right neural foraminal stenosis': {'clinical finding': 'moderate to severe right neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe right neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - severe'}, 'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'disc': {}, 'spinal': {}}clinical findings_fin: {'moderate spinal stenosis': {'clinical finding': 'moderate spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'facet autofusion': {'clinical finding': 'facet autofusion', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'autofusion'}}anatomical entity_fin: {'lateral recesses': {}}location descriptor_fin: ['upper']clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild to moderate left neural foraminal stenosis': {'clinical finding': 'mild to moderate left neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'neural foraminal stenosis': {'clinical finding': 'neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'spinal': {}}clinical findings_fin: {'mild spinal stenosis': {'clinical finding': 'mild spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'mild spinal', 'observation': 'stenosis', 'strength_term': 'mild'}, 'moderate neural foraminal stenosis': {'clinical finding': 'moderate neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'ligamentum flavum': {}, 'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'ill defined thickening': {'clinical finding': 'ill defined thickening', 'existence': 'pos_dx', 'descriptive_term': 'ill defined', 'observation': 'thickening'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}} [/INST] The bones are osteopenic. Multilevel decrease in the intervertebral disc space is seen, most pronounced at L4-L5, which is nearly fused now and progressed since the previous study. Narrowing of the disc space of L2-L3 is progressed since the previous study. Sclerosis of the endplates of L2-L3 and L5-S1 is seen that is also progressed since previous study. There is minimal anterolisthesis of L3 on L4. The degenerative cyst that was seen in the posterosuperior aspect of the T2 vertebral body in the previous study became sclerotic. The degenerative air-filled cyst that was seen previously in the inferior endplate of T12 is progressed. Vaccum phenomena are seen at the level of T12-L1, L2-L3, L3-L4, and L5-S1. Multilevel osteophyte formation are seen. Mild rightward convexity of the lower lumbar spine is seen. At T11-T12 there is bilateral facet hypertrophy with mild spinal stenosis and moderate neural foraminal stenosis bilaterally. At T12-L1 there is no spinal or neural foraminal compromise. At L1-L2 there is no spinal or neural foraminal compromise. At L2-L3 there is disc bulge with moderate to severe spinal stenosis that is progressed since the previous study. There is moderate neural foramina stenosis bilaterally, right more than the left. There is severe thickening of the ligamentum flavum and bilateral facet hypertrophy. At L3-L4 there is uncovering of the disc with superimposed mild disc bulge. There is severe spinal stenosis. There is hypertrophy of the ligamentum flavum and and the facets bilaterally. There is a moderate to severe right neural foraminal stenosis and mild to moderate left neural foraminal stenosis. At L4-L5 there is moderate disc bulging with moderate spinal stenosis. There is ligamentum flavum and bilateral facet hypertrophy, with facet autofusion since the prior exam. The upper portion of the lateral recesses are narrowed. There is mild to moderate left neural foraminal stenosis with no neural foraminal stenosis in the right. At L5-S1 there is mild spinal stenosis and moderate neural foraminal stenosis bilaterally. There is hypertrophy of the ligamentum flavum and bilateral facet hypertrophy. Ill defined thickening of the left adrenal gland is again seen. There are calcifications of the aorta. </s>