Female, 82 years old, with radiculopathy and low back pain. Assess for progression of spinal stenosis. Mild levoscoliosis is again seen centered at L2-3. Sagittal alignment is otherwise unremarkable. Vertebral body heights are preserved. Extensive endplate degenerative marrow signal is seen, similar to prior. Mild marrow edema within the left L5 pedicle and facet complex, likely degenerative in nature, is similar to prior. No other evidence of marrow edema or concerning marrow replacement is observed.T12-L1: Facet hypertrophy and ligamentum flavum thickening. Bulging disc, slightly progressed, with a small inferiorly directed central disc extrusion. Moderate spinal canal stenosis, progressed from prior. Moderate bilateral foraminal narrowing, unchanged.L1-2: Moderate to severe facet hypertrophy and ligamentum flavum thickening. Bulging disc. Moderate to severe spinal canal stenosis with crowding of the cauda equina, similar to prior. Moderate bilateral foraminal narrowing, unchanged. L2-3: Severe facet hypertrophy and ligamentum flavum thickening. Bulging disc. Moderate spinal canal stenosis with slight crowding of the cauda equina, unchanged. Moderate to severe bilateral foraminal narrowing, unchanged. L3-4: Severe facet hypertrophy and ligamentum flavum thickening. Bulging disc. Moderate to severe spinal canal stenosis, unchanged. Mild to moderate bilateral foraminal narrowing, unchanged. L4-5: Severe facet hypertrophy and ligamentum flavum thickening. Bulging disc with a small central annular fissure and protrusion. Moderate to severe spinal canal stenosis, unchanged. Mild right and moderate left foraminal narrowing, unchanged. L5-S1: Moderate facet hypertrophy and ligamentum flavum thickening. Minimal disc bulge asymmetric to the right. No significant spinal canal stenosis. No significant foraminal narrowing. No interval changes.
1.Moderate spinal canal stenosis at T12-L1 has mildly progressed.2.Moderate to severe spinal canal stenosis from L1-2 through L4-5 is unchanged.3.Variable foraminal narrowing is unchanged as above.