Female, 61 years old, with low back pain. Evaluate for facet arthropathy. Image quality is degraded by motion artifact.Spinal alignment is anatomic. Mild wedging and superior endplate concavity of T12 is seen without edema. Mild anterior wedging of L1 is seen without edema.Severe disc degeneration is evident at L2-3 with endplate irregularity, loss of disc height and marrow edema.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable except as discussed below.Incidental note is made of a right adrenal nodule.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Moderate disc bulging. Mild to moderate generalized spinal canal narrowing with some crowding of the cauda equina. Moderate bilateral foraminal narrowing. L3-4: Facet arthropathy. Ligamentum flavum thickening. No significant spinal canal or foraminal stenosis. L4-5: Facet arthropathy. Ligamentum flavum thickening. Minimal bulging disc. No significant spinal canal or foraminal stenosis. L5-S1: Facet arthropathy. No significant spinal canal or foraminal stenosis.
1.Advanced disc degeneration at L2-3 with severe endplate irregularity, marrow edema and a diffusely bulging disc. The spinal canal is moderately narrowed at this location with some degree of cauda equina crowding.2.No other areas of high-grade spinal canal stenosis are seen. Facet arthropathy is evident at lower lumbar levels as above.3.Incidental note is made of a right adrenal nodule. These are statistically most likely benign but the lesion is only partially evaluated on this examination.