Female, 70 years old, with back pain. Alignment is anatomic. Vertebral body height and morphology are within normal limits. Mild degenerative endplate edema is seen at L5-S1. No other areas of concerning marrow replacement or edema are demonstrated. The distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural abnormalities are suspected.L1-2: Unremarkable. L2-3: Mild facet arthropathy. Minimal disc bulging. No significant spinal canal or foraminal stenosis. No interval changes. L3-4: Facet arthropathy and ligamentum flavum thickening. Prominence of the dorsal epidural fat. Minimal disc bulging. No significant spinal canal stenosis. Moderate left and mild right foraminal narrowing. No interval changes. L4-5: Facet arthropathy and ligamentum flavum thickening. Prominence of the dorsal epidural fat. Mild disc bulging. No significant spinal canal stenosis. Severe left foraminal narrowing has progressed. Mild right foraminal narrowing is unchanged. L5-S1: Facet arthropathy and ligamentum flavum thickening. Loss of disc height and disc bulging. No significant spinal canal stenosis. Severe right and moderate left foraminal narrowing, both progressed.
Mild to moderate multilevel disc degeneration is seen along with facet arthropathy. No high-grade spinal canal stenosis is demonstrated. However, severe progressive foraminal narrowing is demonstrated on the left at L4-5 and on the right at L5-S1.