Reason: ? Worsening of listening upon standing History: back and bilateral leg pain Please note that exam could not be performed with patient standing due to inability to stand. Service notified at the time of the exam.Again seen is grade 1 anterolisthesis of L3 and L4. Exaggerated lordosis appears similar to the prior MRI. Moderate degenerative disc disease at L3-L4 with vacuum phenomenon and mild degenerative disc disease at L4-L5 is present. Vertebral body heights are intact. Small anterior osteophytes and severe facet arthropathy of the lower lumbar levels is present. There are large calcified fibroids in the pelvis.
Degenerative changes of the lumbar spine with anterolisthesis appearing similar to the prior MRI. Please note that patient was unable to perform exam while standing as requested by service.