h/o cervical myelopathy with lower back pain and lumbar radicular sx. The vertebral bodies are normally aligned. The vertebral body heights and intervertebral disc spaces are grossly maintained. No worrisome focal marrow signal is identified. The conus terminates at L1. The spinal cord and cauda equina demonstrate normal signal and morphology.T10-11: There is mild facet arthropathy and a mild diffuse disc bulge resulting in mild bilateral neuroforaminal narrowing.T11-12: There is a small left paracentral disc protrusion without significant neuroforaminal or spinal stenosis.T12-L1: There is a minimal diffuse disc bulge without significant spinal or neuroforaminal stenosis.L1-2: No significant disc herniation, neuroforaminal stenosis, or spinal stenosis is noted.L2-3: There is a mild diffuse disc bulge causing mild bilateral neuroforaminal narrowing without central spinal stenosis.L3-4: There is a diffuse disc bulge and hypertrophic degenerative changes of the facets/ligamentum flavum resulting in mild central spinal stenosis with moderate left and mild right neuroforaminal stenosis. In addition, there appears to be mass effect upon the far lateral exiting left L3 nerve root.L4-5: There is a mild diffuse disc bulge resulting in mild bilateral neural foraminal narrowing. There are mild hypertrophic degenerative changes of the facets.L5-S1: There is a large left lateral osteophyte impinging upon the exiting L5 nerve root (series 801, image 8).
Multilevel degenerative changes of the lumbar spine as described above. Although there is no evidence of significant spinal canal stenosis, a laterally projecting osteophyte at L5-S1 does appear to impinge on the exiting left L5 nerve root. 