 The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral bone marrow signal is unremarkable. The vertebral body and disk heights are well-maintained. There is disc desiccation at L4-5 and L5-S1. The distal spinal cord and conus are within normal limits with the conus terminating at the L1 level. At L2-3, there is mild facet hypertrophy and ligamentum flavum thickening without neural foraminal or spinal canal narrowing. At L3-4, there is mild facet hypertrophy and ligamentum flavum thickening without neural foraminal or spinal canal narrowing. At L4-5, there is a mild disc bulge with facet hypertrophy and ligamentum flavum thickening causing mild bilateral neural foraminal narrowing without spinal canal stenosis. However, there is no longer the large left paracentral disc protrusion. At L5-S1, there is a mild disc bulge with facet hypertrophy and ligamentum flavum thickening causing mild bilateral neural foraminal narrowing without spinal canal stenosis.
Mild multilevel degenerative spondylosis without significant spinal canal stenosis.