Chronic low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is grade 1 anterolisthesis of L4 on L5. Alignment is otherwise within normal limits. Bone marrow signal is slightly heterogeneous which is nonspecific, but without discrete suspicious osseous lesions. There is advanced facet arthropathy at L4-L5 and L5-S1 with moderate degree of associated bone marrow edema. The conus medullaris is normal in position.Multilevel degenerative changes are seen with multilevel disc desiccation, additional details as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Disc desiccation and minimal bulge. No spinal canal or neural foraminal stenosis.L3-L4: Disc desiccation and mild bulge. No spinal canal stenosis. There is mild narrowing of the bilateral neural foramina. L4-L5: There is disc bulge and advanced bilateral facet arthropathy as well as ligamentum flavum thickening. There is moderate left neural foraminal stenosis and mild to moderate right neural foraminal stenosis. There is also prominence of the epidural fat, which in association with the degenerative changes, results in moderate spinal canal stenosis at this level. L5-S1: Mild disc bulge and advanced bilateral facet arthropathy. There is no significant spinal canal stenosis. There is mild to moderate right and mild left neural foraminal stenosis.Paraspinous soft tissues are within normal limits. Right renal cyst.
1. Multilevel degenerative changes in the lumbar spine, worst at the L4-L5 level where there is moderate spinal canal stenosis and up to moderate left neural foraminal stenosis. Additional levels as described above.2. Advanced facet arthropathy at L4-L5 and L5-S1 with moderate degree of bone marrow edema associated. These findings are suspected to be contributing to patient's low back pain.3. Mild degenerative spondylolisthesis at L4-5.