Female, 61 years old, with low back and leg pain. Alignment is anatomic. Vertebral body height and morphology are preserved. No concerning marrow replacement or evidence of marrow edema is seen. Fatty degenerative endplate signal is demonstrated at L4-5, similar to the prior examination.The visualized spinal cord, conus and cauda equina are unremarkable.L1-2: Mild facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis. No significant interval changes. L2-3: Moderate facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis. No significant interval changes. L3-4: Moderate facet hypertrophy and ligamentum flavum thickening. No significant spinal canal or neuroforaminal stenosis. No significant interval changes. L4-5: Marked facet hypertrophy and ligamentum flavum thickening. Bulging disk asymmetric to the left. Moderate spinal canal stenosis. Mild bilateral foraminal narrowing. No significant interval changes.L5-S1: Marked facet hypertrophy with ligamentum flavum thickening. Bulging disk with perhaps a small superimposed left paracentral protrusion. No significant spinal canal or neuroforaminal stenosis. No significant interval changes.
Multilevel degenerative disk findings and posterior element hypertrophy, most severely affecting the L4-5 level where there is a moderate spinal canal stenosis and mild bilateral foraminal narrowing. No significant interval change is seen and there are no new abnormalities.