Low back pain. The vertebral column alignment is within normal limits. There is increased T2 signal and low T1 signal at the endplates of L3-4 likely related to degenerative changes. There is multilevel disc desiccation and moderate loss of height of the L3-4 disc, with what appears to be herniation of disc into the posterior L3 vertebral body. The spinal cord displays normal signal and morphology. There is a partially imaged right renal cyst. There is a large well-circumscribed T1 and T2 hyperintense lesion within the right iliacus muscle, which likely represents a lipoma.Interspace observations:T11-12: There is no significant compromise to spinal canal or neural foramina.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is disc bulge, facet hypertrophy with effusions and possible small synovial cysts, and ligamentum flavum thickening, as well as mild epidural lipomatosis, causing moderate central canal and moderate right and moderate to severe left neural foraminal narrowing.L4-5: There is disc bulge, facet hypertrophy with effusions, and ligamentum flavum thickening cause mild central canal stenosis, as well as moderate to severe right and moderate left neural foraminal narrowing.L5-S1: There is a minimal disc bulge, facet hypertrophy, and ligamentum flavum thickening with mild bilateral neural foraminal narrowing, but no significant spinal canal narrowing.
Degenerative spondylosis with moderate central canal and moderate right and moderate to severe left neural foraminal narrowing at L3-4 and mild central canal stenosis, as well as moderate to severe right and moderate left neural foraminal narrowing at L4-5.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.