Rule out spinal stenosis, history of positive straight leg raise test on the left, asymmetric ankle jerks. Five lumbar type vertebral bodies are presumed to be present. There is osseous fusion involving the visualized T11, T12, and L1 vertebral bodies. There is also T1 and T2 hyperintensity involving the L1-L2 disc which likely represent calcification. Ventral bridging osteophytes at the thoracolumbar junction also partially visualized. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: There are foci of calcification involving the disc. Otherwise no significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L5-S1: Minimal disc bulge. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits. Mild facet arthropathy is seen throughout the lumbar spine.
1. No significant spinal canal or neural foraminal stenosis at any level in the lumbar spine. There are minimal degenerative changes.2. Osseous fusion involving the T11-L1 vertebral bodies with intradiscal calcifications as well as calcifications involving the L1-L2 disc. These are nonspecific but can be seen in entities such as CPPD and other spondyloarthropathies. 