68-year-old male, history of liver transplant with back pain, rule out lumbosacral impingement For the purposes of numbering, there are 5 lumbar type vertebral bodies with lumbarization of S1. Lumbar alignment is maintained without spondylolysis or spondylolisthesis. Diffusely mottled low signal of the bone marrow which is nonspecific; no focal suspicious osseous lesions. The conus is in normal position. L1/2: No significant neuroforaminal narrowing or spinal canal stenosis.L2/3: No significant neuroforaminal narrowing or spinal canal stenosis.L3/4: Mild asymmetric hypertrophy of the right posterior facet without significant neuroforaminal narrowing or spinal canal stenosisL4/5: Posterior facet hypertrophy and small right facet joint effusion with mild bilateral neuroforaminal narrowing, but no significant spinal canal stenosis.L5/S1: Moderate degenerative disease and disk bulge and left greater than right facet hypertrophy, with moderate left and mild right neuroforaminal narrowing. No central canal stenosis.
1. Spondylosis and disk bulge at L5/S1 with moderate left and mild right neuroforaminal narrowing. Additional degenerative changes at described above.2. Heterogenous marrow signal which is nonspecific. No convincing evidence of metastatic disease in the lumbar spine. 2. Please note for the purposes of numbering, there are 5 lumbar type vertebral bodies with lumbarization of S1. 