57-year-old male with chronic low back pain. There is minimal retrolisthesis of L2 on L3, otherwise alignment is within normal limits. Bone marrow signal is benign. There is patchy T1 and T2 hyperintensity such as within the left half of the L1 vertebral body, which may represent a vertebral body hemangioma. There is mild to moderate degenerative disc space narrowing most severely affecting L2-3 and L3-4. The distal spinal cord and nerve roots appear unremarkable. Additional level specific findings are as follows:T12-L1: Minimal degenerative disc disease without central canal or neural foraminal compromise.L1-L2: Mild degenerative disc disease without significant central canal or neural foraminal stenosis.L2-L3: Mild-moderate degenerative disc disease with minimal disc bulge. No significant central canal or neural foraminal stenosis.L3-L4: Mild degenerative disc disease without significant central canal or neural foraminal stenosisL4-L5: No significant degenerative disc disease or central canal stenosis. Mild left neural foraminal stenosis and facet degenerative changes.L5-S1: No significant degenerative disc disease, central canal, or neural foraminal stenosis mild facet degenerative changes.
Mild to moderate multilevel lumbar degenerative disc disease. No significant central canal or neural foraminal stenosis at any level.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.