 For the purposes of numbering, there are 5 lumbar type vertebral bodies. There is mild levocurvature of the lumbar spine with apex at L2-3 and loss of lumbar lordosis. Alignment is otherwise within normal limits. There is severe disk space narrowing at L2-3 and L3-4 with degenerative marrow signal abnormality involving L3, L4, and L5 endplates. The imaged portions of the distal cord is unremarkable. The imaged paraspinal soft tissues are unremarkable. Other level specific findings are as follows:T12-L1: No significant degenerative disk disease, spinal canal narrowing, or neural foraminal narrowing.L1-L2: No significant degenerative disk disease, spinal canal narrowing, or neural foraminal narrowing.L2-L3: Degenerative disk disease and disk bulge with ligamentum flavum thickening and facet degenerative changes results in moderate to severe right neuroforaminal narrowing and minimal left neuroforaminal narrowing. Minimal spinal canal narrowing.L3-L4: Degenerative disk disease and disk bulge with ligamentum flavum thickening and facet hypertrophy results in moderate-severe right and severe left neuroforaminal narrowing. There is mild central canal stenosis. There is a small right facet joint effusion.L4-L5: Mild disk bulge and facet degenerative changes without significant central canal stenosis. There is mild bilateral, left worse than right, neuroforaminal narrowing.L5-S1: No significant degenerative disk disease, spinal canal narrowing, or neural foraminal narrowing.
Severe degenerative disk disease affecting L2-L3 and L3-L4 with moderate to severe neuroforaminal stenosis at these levels as detailed above. No high grade spinal canal stenosis at any level.