Male, 32 years old, with bilateral lower extremity and low back pain. Grade 1 retrolisthesis of L5 relative to S1 is seen. Spinal alignment is otherwise unremarkable.Vertebral body morphology is unremarkable. No concerning marrow replacement is seen. Endplate edema is demonstrated at L5-S1.The visualized distal spinal cord, conus and cauda equina nerve roots are within normal limits. No epidural abnormality is seen.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Unremarkable. L4-5: Mild facet arthropathy. Loss of disc height and T2 signal. Disc bulging with a right paracentral annular fissure. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L5-S1: Mild facet arthropathy. Loss of disc height and T2 signal. Disc bulging with a superimposed central/right paracentral protrusion. No significant spinal canal stenosis or clear nerve root impingement is seen. The neural foramina are moderately narrowed.
1.Disc degeneration at L4-5 is seen with mild bilateral foraminal narrowing but no significant spinal canal stenosis.2.Spondylolisthesis and disc degeneration is seen at L5-S1. The neural foramina are moderately narrowed at this level, but again, no significant generalized spinal canal stenosis is seen.