Female 80 years old with history of low back pain and bilateral leg pain, L4-5 stenosis The spinal canal is developmentally slender. The vertebral column alignment is within normal limits without evidence of subluxation. The vertebral body and disc space heights are preserved with mild signal dessication throughout the discs. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology with the conus terminating at the L2-3 level. The paravertebral soft tissues are unremarkable.T11-12: No evidence of significant central or foraminal stenosis on sagittal images.T12-L2: Mild facet arthropathy without evidence of significant central or foraminal stenosis.L2-L3: Disc bulging with moderate bilateral facet arthropathy and ligamentum flavum hypertrophy causing moderate to severe central and mild to moderate bilateral foraminal stenosis, appearing stable from prior exam.L3-L4: Mild disc bulging with severe bilateral facet arthropathy and ligamentum flavum hypertrophy causing moderate to severe central and mild to moderate bilateral foraminal stenosis, appearing stable from prior exam.L4-5: Disc bulging with severe bilateral facet arthropathy, osteophytosis, and ligamentum hypertrophy causing severe central and severe bilateral foraminal stenosis. The right foraminal stenosis appears slightly progressed from prior.L5-S1: Disc bulging with moderate bilateral facet arthropathy. Mild to moderate bilateral foraminal stenosis without significant central stenosis.
Marked degenerative changes of the lumbar spine with severe central and bilateral foraminal stenosis at L4-5, moderate central and bilateral foraminal stenosis at L3-4, as well as moderate central and bilateral foraminal stenosis at L2-3. There is slight progression of right foraminal stenosis at L4-5, otherwise, findings appear stable from prior exam.