 Vertebral body heights are maintained. There is no evidence of fracture or spondylolisthesis. Alignment is within normal limits. The conus is normal in signal intensity and morphology and terminates at an appropriate level. Redemonstrated is a left simple renal cyst, otherwise the paraspinal tissues are unremarkable.L1-L2: No significant abnormality, unchanged.L2-L3: Worsening disc bulge and new bilateral facet hypertrophy causing new mild bilateral neural foraminal stenosis.L3-L4: Diffuse annular disc bulge, ligamentum flavum thickening, mild left facet hypertrophy, and mild to moderate right facet hypertrophy. There is mild central, moderate left lateral recess, mild right lateral recess, mild to moderate left neural foraminal, and mild right neural foraminal stenosis. These findings are unchanged.L4-L5: Diffuse single disc bulge with focal protrusion centrally as well as into the left neural foramen. There is also ligamentum flavum thickening and mild bilateral facet hypertrophy. There is mild central, moderate left lateral recess, and mild to moderate bilateral neural foraminal stenosis. These findings are unchanged.L5-S1: Diffuse annular disc bulge, ligamentum flavum thickening, and mild bilateral facet hypertrophy. There is moderate left neural foraminal and mild right neural foraminal stenosis. These findings are unchanged.
1.L2-L3: New mild bilateral neural foraminal stenosis.2.L3-L4: Mild central, moderate left lateral recess, mild right lateral recess, mild to moderate left neural foraminal, and mild right neural foraminal stenosis, unchanged.3.L4-L5: Mild central, moderate left lateral recess, and mild to moderate bilateral neural foraminal stenosis, unchanged.4.L5-S1: Moderate left neural foraminal and mild right neural foraminal stenosis, unchanged.