Male, 61 years old, with radiculopathy, assess for lumbar stenosis. Trace retrolisthesis of L2 relative to L3 and L3 relative to L4 is seen. A mild anterior compression of the T12 vertebral body is noted with no more than 10% loss of vertebral body height and mild associated STIR signal abnormality which may represent edema. No other areas of significant marrow edema are seen. Fatty degenerative endplate signal abnormality is noted from L3 through S1. The visualized distal spinal cord and conus are within normal limits. No epidural abnormalities are suspected. A right renal cyst is suspected.L1-2: No significant spinal canal stenosis or neuroforaminal narrowing. L2-3: Facet hypertrophy and ligamentum flavum thickening. Loss of disc height and disc bulging. Moderate generalized spinal canal stenosis with crowding of the cauda equina. Mild bilateral foraminal narrowing. L3-4: Facet hypertrophy and ligamentum flavum thickening. Loss of disc height and disc bulging. Moderate generalized spinal canal stenosis with crowding of the cauda equina. Moderate bilateral foraminal narrowing. L4-5: Advanced facet hypertrophy and ligamentum flavum thickening. Loss of disc height and disc bulging. Severe generalized spinal canal stenosis particularly affecting the left aspect of the spinal canal. Severe left and mild right foraminal narrowing. L5-S1: Facet hypertrophy. Loss of disc height and disc bulging. No significant spinal canal stenosis. Mild bilateral foraminal narrowing.
1.Disc and posterior element degeneration contribute to moderate spinal canal stenosis at L2-3 and L3-4, and severe stenosis at L4-5. A severe stenosis of the left neural foramen is also evident at L4-5.2.Very mild anterior wedging of the T12 vertebral body which may be subacute to chronic.