 There is 4 mm of anterolisthesis of L3 upon L4. The vertebral body heights are well maintained. There are diffuse T1 and T2 hyperintense foci within the vertebral bodies likely hemangiomas or focal fat. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable. There is disc space narrowing and desiccation affecting L2/3 and L3/4. Additional findings by level.L1/2: Disc bulge with mild left neural foramen stenosis, but no significant spinal canal stenosis.L2/3: Disc bulge, ligamentum flavum thickening, and facet hypertrophy result in severe spinal canal stenosis and mild, left greater than right, neural foramen narrowing.L3/4: Disc bulge, ligamentum flavum thickening, and facet hypertrophy result in severe spinal canal stenosis and minimal neural foramen narrowing.L4/5: Ligamentum flavum thickening and facet hypertrophy result in mild spinal canal stenosis and neural foramen narrowing.L5/S1: Facet hypertrophy, but no significant central spinal canal stenosis or neural foramen narrowing.
Multilevel degenerative spondylosis, which is most pronounced at L2/3 and L3/4, where there is severe spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.