Chronic low back pain with standing Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild straightening of the lumbar spinal curvature as well as minimal retrolisthesis of L2 on L3. Bone marrow signal is benign with small foci of T1 hyperintensity compatible with small hemangiomas or foci of fat. The conus medullaris is normal in position. There are multilevel degenerative changes including disc desiccation as well as severe loss of disc height at the L2-L3 level. Disc heights at the remainder of the levels are grossly preserved. Additional details as below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Severe disc height loss which has progressed since prior MRI from 2/3/2005. There is also a disc bulge, bilateral facet arthropathy, and ligamentum flavum thickening contributing to mild spinal canal stenosis. There is mild to moderate right and mild left neural foraminal stenosis.L3-L4: Disc bulge, facet arthropathy, and ligamentum flavum thickening, contributing to mild to moderate spinal canal stenosis. There is also mild to moderate left and mild right neural foraminal stenosis.L4-L5: Mild disc bulge, facet arthropathy, and ligamentum flavum thickening. No significant spinal canal or neural foraminal stenosis.L5-S1: Minimal disc bulge. There is bilateral facet arthropathy. No significant spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
Multilevel degenerative changes in the lumbar spine, relatively worse at the L2-L3 and L3-L4 levels. There is mild L2-L3 and mild to moderate L3-L4 spinal canal stenosis. No higher grade spinal canal stenosis. There is also mild to moderate right L2-L3 and left L3-L4 neural foraminal stenoses. Additional details as above.