 For purposes of numbering, there are 5 lumbar type vertebral bodies. There is loss of the normal lumbar lordosis and minimal anterolisthesis of L2 on L3, slightly increased as compared to prior exam. The vertebral body heights are preserved. There is fatty endplate changes and moderate to severe loss of intervertebral disc space height at the L2-L3, L3-L4, L4-L5, and L5-S1 intervals, which is slightly progressed as compared to prior exam on the L2-L3 level. There is edematous changes involving the L2-L3 endplates which is likely degenerative in etiology and new since remote study from 2005. Enhancing Schmorl nodes are noted at the inferior endplate of L2 and superior endplate of L5. The conus is normal in signal and morphology and terminates at L1-L2 level. Large left kidney cystic structure is again partially visualized.T12/L1: There is no significant disc disease or no spinal canal or neural foraminal stenosis.L1/2: There is mild facet joint arthropathy with no significant disc disease, or spinal canal or neural foraminal stenosis.L2/3: Diffuse disc bulge and advanced bilateral facet arthropathy as well as ligamentum flavum thickening resulting in up to moderate spinal canal stenosis, mild right neural foraminal stenosis, and moderate left foraminal stenosis, progressed as compared to prior exam from 2005.L3/4: Diffuse disc bulge with endplate osteophytes, ligamentum flavum thickening, and facet joint arthropathy resulting in moderate to severe left neural foraminal narrowing and mild to moderate right neural foraminal narrowing. Postsurgical changes of prior left-sided laminectomy are noted, with effacement of the left lateral recess but no significant thecal sac effacement. Caliber of the spinal canal is improved since the prior exam.L4/5: Patient status post left-sided laminectomy with improvement in spinal canal caliber and no significant spinal canal stenosis. Facet joint arthropathy with mild to moderate left neural foraminal stenosis and moderate to severe right neural foraminal stenosis are noted.L5/S1:Diffuse disc bulge with posterior osteophytes and partial effacement of the lateral recess, right greater than left, with no significant central canal stenosis. There is severe right neural foraminal and moderate left neural foraminal stenosis.
1.Multilevel degenerative changes throughout the lumbar spine, progressed at the L2-L3 level since remote prior study of 10/8/2005 with decompression of spinal canal at the L3-L4 and L4-L5 level in the interval.2.Multilevel neural foraminal stenoses, as detailed above.