Spinal stenosis, lumbar region, without neurogenic claudication Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a minor disc bulge at this level. This has not changed substantially since the previous examAt L4-5 there is no significant compromise to spinal canal or neural foramina. There is moderate to marked bilateral facet hypertrophy present at this level which was also present on the prior exam and has not changed substantially. The patient is status post posterior elements surgery at this level with laminotomy defects. There is some disc desiccation present at this level. Overall there is mild spinal stenosis at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation present associated with a mild disc bulge and some mild ligamentum flavum hypertrophyAt L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a parapelvic cyst present in the left kidney which was also present on the prior exam but is somewhat larger on the current exam.
No compromise to lumbar spinal canal or neural foramina. The patient is status post lumbar spine surgery at L4-5.