Female, 55 years old, history of lymphoma with lower back pain. Alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement or pathologic marrow enhancement is seen.The visualized spinal cord, conus and cauda equina are unremarkable. No pathologic intrathecal enhancement is seen.Mild loss of disc height and T2 signal is evident at T11-12, L3-4, L4-5 and L5-S1. Additional level specific findings are as follows:L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet hypertrophy and ligamentum flavum thickening. Mild bulging disc with a small superimposed central disc protrusion. Annular fissuring seen previously is less conspicuous, but the size of the protrusion is unchanged. No significant spinal canal or neuroforaminal stenosis. L4-5: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc with small superimposed central disc protrusion, unchanged. Moderate generalized spinal canal stenosis, mild bilateral foraminal narrowing, unchanged. L5-S1: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc with a superimposed small central disc protrusion and annular fissure, unchanged. No significant spinal canal or foraminal stenosis, though the bulging disc does abut the S1 nerve sheaths bilaterally.
1.Stable mild disc bulging and central protrusions at L3-4, L4-5 and L5-S1.2.Stable moderate generalized spinal canal stenosis at L4-5.