Right posterior thigh radicular pain. There is multilevel degenerative spondylosis. In particular, there is facet joint arthropathy and a disc bulge with superimposed right foraminal disc protrusion at L4-5, with mild to moderate right neural foraminal stenosis, minimal left neural foraminal stenosis and mild to moderate spinal canal stenosis. There is also a prominent anterior disc-osteophyte at this level with associated edematous endplate reactive changes, as well as a subcentimeter right paraspinal facet synovial cyst. There is facet joint arthropathy and a disc bulge at L3-4, with superimposed left foraminal and far lateral disc protrusion with an annular fissure, which results in mild bilateral neural foraminal and spinal canal stenoses. At L5-S1, there is a minimal disc bulge, a subcentimeter right ligamentum flavum cyst, and bilateral mild facet hypertrophy with bilateral effusions, resulting in mild bilateral neural foraminal stenosis, but no significant central canal narrowing. There is no significant spinal canal or neural foraminal stenosis at T12 though L3. The imaged portions of the spinal cord and cauda equina nerve roots are unremarkable. There is no spondylolisthesis. There are unchanged mild endplate deformities and intravertebral disc herniations, without evidence of acute fracture. There are probable cysts in the bilateral kidneys.
Multilevel degenerative spondylosis. In particular, there is facet joint arthropathy and a disc bulge with superimposed right foraminal disc protrusion at L4-5, with mild to moderate right neural foraminal stenosis, minimal left neural foraminal stenosis and mild to moderate spinal canal stenosis. There is also a prominent anterior disc-osteophyte at this level with associated edematous endplate reactive changes, as well as a subcentimeter right paraspinal facet synovial cyst. There is facet joint arthropathy and a disc bulge at L3-4, with superimposed left foraminal and far lateral disc protrusion with an annular fissure, which results in mild bilateral neural foraminal and spinal canal stenoses. At L5-S1, there is a minimal disc bulge, a subcentimeter right ligamentum flavum cyst, and bilateral mild facet hypertrophy with bilateral effusions, resulting in mild bilateral neural foraminal stenosis, but no significant central canal narrowing. 