Pain, back and left hip Pelvis and hip: Moderate osteoarthritic changes of both hips are observed, specifically no additional superimposed acute left hip abnormality. Overall preserved femoral head shape. SI joints unremarkable.L-spine: Severe degenerative changes of L5-S1 with vacuum phenomenon, narrowing and osteophytes with sclerosis. Mild wedge deformity of L3 with a bulky anterior osteophyte, nonacute given appearance is similar to a 2012 MRI.
L3 and L5-S1 changes as described and grossly similar to prior more remote MR imaging.