Left-sided sciatica with severe lumbar degenerative disease seen on x-ray. Five lumbar type vertebral bodies are presumed to be present. There are compression fractures involving the T12, L1, L2, L3, and L4 vertebral bodies. L5 vertebral body also demonstrates subtle deformity of the superior endplate without significant loss of height. Height loss is relatively worse involving the T12, L1, and L3 levels which appear to have been treated with cement augmentation/vertebroplasty. No edema within these vertebral bodies to suggest recent loss of height. There is some dextrocurvature involving the lower lumbar spine as well as minimal retrolisthesis of L5 on S1. Focal marrow signal abnormality is evident at the level of the vertebroplasties particularly at T12, possibly related to myeloma, but nonspecific, and can be correlated with history of the etiology of these compression fractures. No infiltrative or destructive lesions are evident within the remainder of the lumbar spine. Osteopenia is also evident on prior radiographs. Multilevel degenerative changes are seen, as described below:T12-L1: Mild disc bulge. No significant spinal canal stenosis. Mild right neural foraminal narrowing. No significant left neural foraminal narrowing.L1-L2: Mild disc bulge. No significant spinal canal or neural foraminal stenosis.L2-L3: Mild disc bulge as well as mild facet arthropathy. No significant spinal canal stenosis. Mild right neural foraminal narrowing. No significant left neural foraminal narrowing.L3-L4: Mild disc bulge, facet arthropathy, ligamentum flavum thickening. No significant spinal canal stenosis. Mild left and minimal right neural foraminal narrowing.L4-L5: Minimal disc bulge and moderate bilateral facet arthropathy. No significant spinal canal stenosis. Minimal narrowing of the neural foramina.L5-S1: Disc height loss with vacuum phenomena. Moderate bilateral facet arthropathy. No significant spinal canal stenosis. Mild left neural foraminal stenosis. Right neural foramen is patent.Paraspinous soft tissues are within normal limits.
1. Multiple compression fractures in the lumbar spine, relatively worse at the T12, L1, and L5 levels which have been treated with cement augmentation. No evidence of edema at any level to suggest recent loss of height.2. There is no spinal canal stenosis at any level. There is fairly mild neural foraminal narrowing at multiple levels, relatively worse at the left L3-L4 and left L5-S1 levels.3. Multilevel facet arthropathy, relatively worse at the L4-L5 and L5-S1 levels.