77-year-old female with lumbar spinal stenosis Vertebral body heights are intact. Endplate degenerative changes, most severe and L3-L4, are unchanged. Multilevel disk desiccation with loss of disk height at L3-L4. Signal within the distal cord and conus is normal. Alignment is anatomic.T12-L1: Mild facet arthropathy. No significant central canal or neuroforaminal stenosis.L1-L2: Diffuse disk bulge with small right paramedian protrusion is unchanged. Mild facet arthropathy. No significant spinal or central canal stenosis.L2-L3: Diffuse disk bulge, asymmetric to the left. Mild facet arthropathy and ligamentum flavum thickening. No significant central or neuroforaminal stenosis.L3-L4: Diffuse disk bulge, ligamentum flavum thickening and facet arthropathy is unchanged. Mild to moderate central canal stenosis, unchanged. Moderate right neuroforaminal stenosis, unchanged.L4-L5: Diffuse disk bulge, asymmetric to the left, with facet arthropathy and ligamentum flavum thickening is unchanged. Mild central canal stenosis is unchanged. Mild left neuroforaminal stenosis is unchanged.L5-S1: Diffuse disk bulge, unchanged. Facet arthropathy. No central canal stenosis. Minimal left neuroforaminal stenosis.
Stable spondylosis of the lumbar spine with narrowing of the central canal and neuroforaminal stenosis at L3-L4 and L4-L5.