 There is a normal alignment of the vertebral bodies. The conus medullaris ends at the level of L1. Marrow signal of the vertebral body mostly demonstrate degenerative changes. There is fatty signal in the vertebral bodies of L4 and S1, which is most consistent with hemangiomas.L1-L2: There is a mild to moderate disc bulge with minimal narrowing of the right neural foramina. There is minimal hypertrophy of the facets bilaterally.L2-L3: There is severe disc bulge with mild spinal stenosis. There is moderate to severe right neural foraminal narrowing. There is mild hypertrophy of the left facet and severe hypertrophy of the right facet. There is a mild hypertrophy of the ligamentum flavum. There are degenerative changes with Schmorl's nodes in the inferior endplate of L2 and in the superior endplate of L3.L3-L4: There is decrease in the intervertebral disc space with abnormal signal in the inferior endplate of L3 and the superior endplate of L4 and Schmorl's nodes. The disc is desiccated. There is moderate disc bulge There is moderate spinal stenosis and moderate narrowing of the neural foramina bilaterally. There is mild facet hypertrophy bilaterally, left more prominent than the right. L4-L5: There is narrowing of the intervertebral disc space which appears to be desiccated. There is a moderate left facet hypertrophy with mild right facet atrophy. There is moderate spinal canal stenosis. There is mild narrowing of the neural foraminal narrowing bilaterally. L5-S1: There is a disc bulge and bilateral facet hypertrophy with severe left and mild right neural foraminal compromise, but no significant spinal canal stenosis.
Degenerative spondylosis of the lumbar spine with multilevel moderate spinal canal stenosis at L2 though L5 and up to severe left L5-S1 neural foraminal stenosis.