 Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is a diffuse disc bulge present associated with bilateral facet and ligamentum flavum hypertrophy. There is bilateral narrowing of neural foramina and encroachment of exiting nerve roots within the neural foramina. There is partial effacement of the fat at the lateral recesses bilaterally at this level. Cystic lesions behind the right L5-S1 facet joint probably represents synovial cysts.At L4-5 there is diffuse disc bulge associated with bilateral facet and ligamentum flavum hypertrophy as well as a mild degree of anterior subluxation of L4 on L5. There is effacement of the fat at the lateral recess bilaterally and narrowing of the neural foramina bilaterally with mild encroachment of the right-sided exiting nerve roots within the neural foramina. Overall there is a moderate to severe degree spinal stenosis at this level.At L3-4 there is a diffuse disc bulge present associated with mild ligamentum flavum hypertrophy. There is narrowing of the neural foramina at this level. Overall there is a mild degree of spinal stenosis at this level. The exiting nerve roots are surrounded by fat within the neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is some disc desiccation and a diffuse disc bulge at this level there is mild narrowing of the spinal canal at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and a disc bulge at this level .1.
2.There is a moderate to severe degree of spinal stenosis present at L4-5 associated with some mild encroachment of the right-sided exiting nerve roots within the neural foramen at this level.3.There is encroachment of the exiting nerve roots within the right neural foramen at L5-S1.4.Mild degrees of spinal stenosis are present at L5-S1 and L3-4.5.There are multilevel degenerative changes present in the lumbar spine.