 The lumbar spine is in normal alignment, with a normal lumbar lordosis. There is minimal disc narrowing and desiccation at L5-S1. The vertebral body and disk heights are otherwise well-maintained. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the mid L2 level.At L5-S1, there is a mild diffuse disc bulge with right paracentral annular fissure. The disc approaches the descending S1 nerve roots bilaterally without abutment. There is mild bilateral facet arthropathy. There is no significant stenosis.There is mild lateral facet arthropathy throughout the lumbar spine, with overall mild to moderate developmental narrowing of the L3-L4 and L4-L5 foramina bilaterally. There is no significant disk bulge, herniation, spinal canal or foraminal stenosis within the lumbar spine. There is slight narrowing and sclerosis along the anterior left sacroiliac joint.
Minimal lower lumbar spondylosis with mild to moderate bilateral femoral narrowing which is developmentally at L3-L4 and L4-L5 exacerbated by mild facet arthropathy.