History of low back pain for 2 years status post fall from standing. Patient reports possible T11-T12 fracture. Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No focal marrow signal abnormality is appreciated. The conus medullaris is normal in appearance and terminates at the inferior L2 level.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is moderate facet hypertrophy. There is no significant compromise to spinal canal or neural foramina.L4-5: There is moderate to marked facet hypertrophy, with moderate spinal canal stenosis. Mild bilateral foraminal disc bulge with minimal neural foraminal narrowing.L5-S1: Moderate to severe facet hypertrophy. There is no significant compromise to spinal canal or neural foramina.
Multilevel moderate to marked facet hypertrophy, with moderate spinal canal stenosis at L4-5.