Reason: spondylolisthesis History: radicular pain Please note that the purposes of numbering, there are 5 lumbar vertebrae with a transitional segment labeled L6 corresponding to prior radiograph. There is grade 1 anterolisthesis of L5 on L6 with minimal anterolisthesis of L4 on L5. Vertebral body heights are intact. There is degenerative endplate changes with increased STIR signal centered at L1-L2 with developing Schmorl's nodes. Multilevel disc desiccation with disc moderate disc space loss at T11-T12 and mild disc space loss at T12-L1, L1-L2 and L5-L6. No abnormal signal within the distal cord or conus which ends at L1-L2. T12-L2: Mild diffuse disc bulge No spinal canal or neural foraminal stenosis.L1-L2: Diffuse disc bulge with a small central protrusion. Mild ligamentum flavum thickening. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. Mild facet arthropathy and ligamentum flavum thickening. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. Mild facet arthropathy and ligamentum flavum thickening. Moderate right and mild left neural foraminal stenosis. No spinal canal stenosis.L4-L5: Broad-based disc bulge. Moderate facet arthropathy and ligamentum flavum thickening. Moderate to severe right and moderate left neural foraminal stenosis. No spinal canal stenosis.L5-L6: Broad-based disc bulge with uncovering of the disc. Moderate facet arthropathy and ligamentum flavum thickening. Moderate bilateral neural foraminal stenosis. Mild spinal canal stenosis.L6-S1: Mild diffuse disc bulge. Prominent lateral osteophytes bilaterally with mild foraminal/extraforaminal narrowing. No spinal canal narrowing.Right renal cyst.
1.Please note that the purposes of numbering, there are 5 lumbar vertebrae with a transitional segment labeled L6. 2.Lumbar spondylosis with grade 1 spondylolisthesis (L5-6 and to a lesser degree L4-5). Advanced facet arthropathy at these levels. Mild spinal canal stenosis at L5-L6 as well as multiple levels of neural foraminal narrowing as above. 