Reason: eval for stenosis History: leg pain Minimal retrolisthesis of L2 on L3, L4 on L5 and L5 and S1. Mild superior endplate depressions at T12 and L1. Severe multilevel disc desiccation and disc space loss with near-complete loss of disc height at L2-L3 and moderate disc space loss at L4-L5 and L5-S1. No abnormal signal within the distal cord or conus which ends L3. Benign marrow signal. Schmorl's nodes along the superior aspect of T12, L1 and L2 and inferior aspect of L1. Postsurgical changes with removal of the L2 and L3 spinous processes.Left diffuse disc bulge at T10-T11 seen only on the lateral view with mild effacement of the ventral thecal sac.T12-L2: Diffuse disc bulge. No spinal canal or neural foraminal stenosis.L1-L2: Diffuse disc bulge. Mild facet arthropathy and ligamentum flavum thickening No spinal canal or neural foraminal stenosis.L2-L3: Mild posterior disc osteophyte complex. Moderate facet arthropathy. Minimal spinal canal narrowing. Mild bilateral neural foraminal stenosis.L3-L4: Diffuse disc bulge. Mild facet arthropathy and ligamentum flavum thickening. Mild spinal canal stenosis. Mild left neural foraminal stenosis. No right neural foraminal stenosisL4-L5: Severe disc space loss and diffuse disc bulge. Moderate facet arthropathy and ligamentum flavum thickening. Moderate spinal canal stenosis. Moderate left and severe right neuroforaminal stenosis.L5-S1: Moderate disc space loss. Mild facet arthropathy. Mild central canal stenosis, right greater than left. Moderate to severe bilateral neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
Multilevel spondylosis, most severe at L4-L5 where there is moderate central canal stenosis, moderate left and severe right neural foraminal stenosis. Additional areas of spinal canal and neural foraminal stenosis as above.