Left leg pain history of lumbar decompression 3 years ago. There is multilevel degenerative spondylosis. At T12-L1, there is a slight disc bulge without significant spinal canal or neural foraminal stenosis. At L1-L2, there is there is a slight disc bulge, mild facet hypertrophy, and thickening of the ligamentum flavum, with minimal spinal canal and bilateral neural foraminal narrowing. At L2-L3, there is a disc bulge, mild facet hypertrophy, and thickening of the ligamentum flavum, with moderate spinal canal narrowing and mild bilateral neural foraminal narrowing. At L3-4, there is a disc bulge, mild facet hypertrophy, and thickening of the ligamentum flavum, with moderate spinal canal and bilateral neural foraminal stenosis. At L4-5, there is a disc bulge, mild facet hypertrophy, and thickening of the ligamentum flavum, with mild spinal canal narrowing and bilateral neural foraminal narrowing. At L5-S1, there is a disc bulge, mild facet hypertrophy, and thickening of the ligamentum flavum, with mild spinal canal narrowing and moderate to severe right and severe left neural foraminal narrowing. There is mild convex left scoliosis, but no spondylolisthesis. There are intravertebral disc herniations via the inferior endplates of T11 and T12. The vertebral body heights are otherwise preserved. There is a subcentimeter area of focal fat or hemangioma in the T11 vertebral body, as well as scattered areas of fatty infiltration within the lumbar spine bone marrow. The imaged spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.
Multilevel degenerative lumbar spondylosis, which is most pronounced at the L2-3, L3-4, and L5-S1 levels. 