52-year-old female with back and leg pain The signal intensity of vertebral column demonstrate changes related to degenerative disk disease and is unremarkable otherwise. There are no fractures or subluxations. The conus is normal in signal and morphology and terminates at appropriate level. The visualized paraspinal contents are unremarkable.Examination at T12/L1, L1/L2, and L2/L3 levels demonstrate no central spinal stenosis or neural foraminal compromise. Mild degenerative disk disease and hypertrophic changes of posterior elements however are again noted. There has been no significant interval change.At L3/L4 there is new asymmetric bulge to the left causing new mild left neural foraminal stenosis.At L4/L5 there is advanced degenerative disk disease with loss of intervertebral disk height, broad based bulge of disk with new asymmetric prominence to the right and mild to moderate hypertrophic changes of the posterior elements. There is mild central, mild left lateral recess, moderate right lateral recess, mild left neural foraminal, and moderate right neural foraminal stenosis. Right lateral recess and neural foraminal stenosis has progressed, whereas the other stenoses are stable.L5/S1 demonstrates mild degenerative changes with mild left neural foraminal stenosis, unchanged.
1.At L3/L4 there is new asymmetric bulge to the left causing new mild left neural foraminal stenosis.2.At L4/L5 there is mild central, mild left lateral recess, moderate right lateral recess, mild left neural foraminal, and moderate right neural foraminal stenosis. Right lateral recess and neural foraminal stenosis has progressed, whereas the other stenoses are stable.3.L5/S1 demonstrates mild mild left neural foraminal stenosis, unchanged.