 There is mild straightening of the lumbar spine the vertebral bodies are normally aligned. The vertebral body heights are maintained. Focal fat or hemangioma is demonstrated in the T10 vertebral body, similar to prior examination. The distal spinal cord and conus are within normal limits with the conus terminating at the L1-L2 level.T9-T10: There is mild diffuse disc bulge causing mild bilateral neuroforaminal narrowing at this level. No significant facet disease is appreciated at this level.T10-T11: There is a diffuse disc bulge at this level causing moderate left and mild right neural foraminal narrowing as well as mild central spinal stenosis. No significant facet disease is appreciated at this level.T11-T12: No significant spinal neural foraminal stenosis is noted at this level. Mild to moderate posterior facet and ligamentum flavum hypertrophic degenerative changes are demonstrated at this level.T12-L1: There is a mild diffuse disc bulge causing mild central spinal and mild bilateral neural foraminal stenosis. Mild posterior facet degenerative changes are demonstrated at this level.L1-L2: There is a diffuse disc bulge causing moderate right and mild left neural foraminal stenosis with mild effacement of the ventral thecal sac. There are mild degenerative changes of the posterior facets at this level.L2-L3: There is a diffuse disc bulge causing mild bilateral neural foraminal narrowing without central spinal stenosis at this level. Mild posterior facet degenerative changes are present.L3-L4: There is a left paracentral disc herniation causing moderate left neural foraminal stenosis at this level. There is no central spinal stenosis.L4-L5: There is a diffuse disc bulge causing moderate bilateral neural foraminal stenosis without central spinal stenosis at this level. There are moderate degenerative changes of the posterior facets at this level.L5-S1: There is mild bilateral neuroforaminal narrowing at this level secondary to diffuse disc bulge without central spinal stenosis. There are moderate degenerative changes of the posterior facets at this level.Multiple bilateral renal cysts are visualized.
1. No evidence for cord compression as clinically questioned.2. Multilevel degenerative changes of the lumbar spine progressed since 4/11/2013.