Female, 61 years old, with low back pain radiating from the feet. Alignment is anatomic. Vertebral body height and morphology are within normal limits. Degenerative endplate edema is seen at L5-S1 and minimally at L4-5. Elsewhere, no evidence of marrow edema or replacement is seen.The visualized distal spinal cord, conus and cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis. L2-3: Mild facet hypertrophy. Minimal bulging disc. Minimal foraminal narrowing.L3-4: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. No significant generalized spinal canal stenosis. Moderate left foraminal narrowing. L4-5: Moderate facet hypertrophy, right worse than left, and ligamentum flavum thickening. Mild disc bulging with a superimposed right foraminal protrusion. No significant spinal canal stenosis. Moderate bilateral foraminal narrowing. L5-S1: Moderate facet hypertrophy and ligamentum flavum thickening. Bulging disc. No significant spinal canal stenosis. Severe bilateral foraminal narrowing.
Multilevel disc and posterior element degeneration is seen. No areas of high-grade spinal canal stenosis are demonstrated. However, the neural foramina at L5-S1 are severely narrowed bilaterally.