57-year-old male complaining of lower extremity pain, numbness. Please evaluate for abnormality, pars fracture, sagittal balance. Spine survey:Slight hyperlordosis of the thoracic spine measuring 70 degrees from the superior endplate of T3 to the inferior endplate of T12. Mild anterior wedging of a few mid thoracic vertebra. Mild degenerative disc disease at C3-C4 and C4-C5 as well as the upper thoracic spine.Lumbar spine:Mild degenerative disc disease affects L5-S1. Minimal (1 to 2 mm) anterolisthesis of L5, stable between flexion and extension views. There is a bilateral spondylolysis of L5, better visualized on outside MRI study from June, 2015. Facet joint osteoarthritis affects the lower lumbar spine.
Mild degenerative disc disease of the cervical, thoracic, and lumbar spine with L5 spondylolysis better seen on prior MRI. Other findings as above.