 The vertebral column alignment is within normal limits. There are mild chronic compression deformities involving the T10, T11, and L1 vertebral bodies with small Schmorl's nodes at the superior endplates. Appearance is unchanged since 9/14/2007. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology with the conus terminating at L1-L2. There are subcentimeter left renal cysts. The paravertebral soft tissues are unremarkable.Individual levels as below:L1-L2: There is mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foraminal narrowing.L2-L3: There is mild facet arthropathy and ligamentum flavum thickening as well as minimal disc bulge without significant spinal canal or neural foraminal narrowing.L3-L4: There is moderate facet arthropathy and ligamentum flavum thickening as well as mild edema within the facet joints. There is also a mild disc bulge asymmetric to the left. These findings result in mild bilateral neural foramen stenosis and mild to moderate spinal canal stenosis.L4-L5: There is a mild to moderate disc bulge, slightly asymmetric to the right, as well as moderate facet arthropathy and ligamentum flavum thickening. These findings result in mild spinal canal stenosis and mild right neural foramen stenosis.L5-S1: There is mild facet arthropathy as well as a minimal disc bulge. These findings result in minimal right neural foramen stenosis without significant spinal canal stenosis.
1. Degenerative changes in the lumbar spine as detailed above, relatively worst at the L3-L4 level where there is mild to moderate spinal canal stenosis and mild bilateral neural foraminal stenosis.2. Mild chronic compression fractures involving the T10, T11, and L1 vertebral bodies which are unchanged since 9/14/2007. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.