 The vertebral column alignment is within normal limits although there is straightening of the normal lumbar lordosis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The imaged spinal cord displays normal signal and morphology with the conus terminating at L1. The paravertebral soft tissues are unremarkable. At T11-T12 and T12-L1 there is mild facet arthropathy and ligamentum flavum thickening without significant spinal canal or neural foramen stenosis.L1-L2: There is a mild disc bulge asymmetric to the right as well as mild facet arthropathy and ligamentum flavum thickening. There is no significant spinal canal or neural foramen stenosis and no significant change.L2-L3: There is a mild disc bulge as well as mild facet arthropathy and ligamentum flavum thickening. These findings result in unchanged mild bilateral neural foramen stenosis and no significant central canal stenosis. Findings are unchanged.L3-L4: There is a mild disc bulge with a superimposed right foraminal herniation. There is also mild facet arthropathy and ligamentum flavum thickening. This results in mild bilateral neural foramen stenosis and no significant central canal stenosis. The findings are unchanged.L4-L5: There is a moderate disc bulge as well as facet arthropathy and ligamentum flavum thickening bilaterally. This results in moderate right and mild left neural foramen stenosis and moderate spinal canal stenosis. The findings are unchanged.L5-S1: There is a mild disc bulge as well as bilateral facet arthropathy, right greater left, and ligamentum flavum thickening. Findings result in moderate bilateral neural foramen stenosis and no significant central canal stenosis. The findings are unchanged.
Unchanged mild to moderate multilevel degenerative changes with multilevel facet arthropathy and at most moderate spinal canal stenosis at L4-L5.