Low back pain. Radiculopathy. 5 lumbar type vertebrae are present. Vertebral body heights are preserved. Endplate degenerative signal is seen at L3-4. There is no worrisome focal bone marrow signal abnormality. The conus medullaris is normal in appearance and terminates at the inferior L2 level. There is grade 1 anterolisthesis of L4 on L5 and L5 on S1. Vacuum disc phenomenon seen at L3-4, L4-5 and L5-S1. Presumed renal cysts are not fully characterized.Individual levels as below:T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: Mild disc bulge and facet arthropathy with mild left and minimal right neural foraminal narrowing. No spinal canal stenosis.L3-L4: There is a disc bulge, eccentric to the left with moderate to severe left neural foraminal narrowing and partial effacement of the lateral recess. Mild right neural foraminal narrowing. There is mild central spinal stenosis. There is ligamentum flavum thickening and facet arthropathy. L4-5: There is severe facet arthropathy with fluid in the left facet joint. There is anterolisthesis with uncovering of the disc. There is diffuse disc bulge. There is mild to moderate left and mild right neural foraminal narrowing. There is moderate to severe spinal canal stenosis.L5-S1: There is moderate to severe facet arthropathy, right greater than left. There is anterolisthesis with uncovering of the disc. There is moderate spinal stenosis including effacement of the right lateral recess. There is moderate to severe right neural foraminal narrowing and mild left neural foraminal narrowing.
Advanced degenerative changes in the lumbar spine at L3-4, L4-5 and L5-S1. There is advanced facet arthropathy with grade 1 degenerative spondylolisthesis at L4-5 and L5-S1. There is moderate to severe spinal canal stenosis at the L4-L5 level and to a lesser degree at L5-S1 and L3-L4. There is multilevel neural foraminal narrowing, particularly at the left L3-L4 and right L5-S1 levels. Please see additional details above. 