 The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disc heights are well-maintained. There is a T1 hyperintense signal in the L5 vertebra, which likely represents a fat-containing hemangioma or focal fatty replacement. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the L1-2 level.T12-L1: No significant spinal canal or foraminal stenosis. L1-L2: Mild facet arthropathy. No significant spinal canal or foraminal stenosis. L2-L3: Mild facet arthropathy and thickening of the ligamentum flavum. No significant spinal canal or foraminal stenosis. L3-L4: Mild facet arthropathy and thickening of the ligamentum flavum. No significant spinal canal or neural foraminal stenosis. L4-L5: Mild facet arthropathy and thickening of the ligamentum flavum. Minimal right foraminal narrowing related to mild disk bulge. No significant spinal canal or left foraminal stenosis. L5-S1: No significant spinal canal or foraminal stenosis. Unchanged atrophic changes involving the left iliopsoas musculature.
1. Mild degenerative changes in the lumbar spine including mild facet arthropathy, which may be contributing to patients back pain. No significant spinal canal or foraminal stenosis. 2. Atrophic changes of the left iliopsoas musculature. 