 The vertebral body heights are maintained. There is straightening of the lumbar spine, but no spondylolisthesis. There is small area of focal fat in the superior aspect of L3. The conus terminates at T12-L1. The imaged spinal cord is normal in signal and morphology. The T12-L1, L1-L2, and L2-L3 levels are unremarkable, without evidence of central spinal canal stenosis or neuroforaminal narrowing. At the L3-L4, there is slight disc bulge, without significant spinal canal stenosis or neural foraminal narrowing. This is unchanged from prior study. At L4-L5, there is a mild disc bulge, disc desiccation, and mild facet/ligamentum flavum hypertrophy resulting in mild bilateral neural foraminal narrowing, but no evidence of spinal canal stenosis. At L5-S1, there is no central spinal canal stenosis or neural foramina narrowing. The paraspinal soft tissues are unremarkable. There is a right renal cyst.
Mild degenerative spondylosis, most notably at L4-L5, with mild bilateral neural foraminal narrowing, but no evidence of spinal canal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.