 There is mild leftward curvature of the lower thoracic and lumbar spine. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. There is minimal loss of L1-L2 disc height. There is multilevel disc desiccation. No worrisome focal marrow signal abnormality is appreciated. The distal spinal cord and conus are within normal limits with the conus terminating at the lower L1 level. The paraspinal soft tissue structures are unremarkable.T11-T12: On sagittal images, there is no significant disc disease, neural foraminal narrowing or spinal canal stenosis.T12-L1: On sagittal images, there is no significant disc disease, neural foraminal narrowing or spinal canal stenosis.L1-L2: Small central disc protrusion. Extending about the level of the disc, there is some thickening of the posterior longitudinal ligament. No significant neural foraminal narrowing or spinal canal stenosis.L2-L3: Trace disc bulge no significant disc disease or neural foraminal narrowing.L3-L4: Facet hypertrophy. Disc bulge. Mild bilateral neural foraminal narrowing. No central canal stenosis.L4-L5: Facet hypertrophy. Trace disc bulge. Minimal bilateral neuroforaminal narrowing. No spinal canal stenosis.L5-S1: Facet hypertrophy. Left foraminal and far lateral disc protrusion likely encroaching the descending L5 nerve root. Moderate left neural foraminal narrowing. No spinal canal stenosis.
Degenerative disc disease worst at L5-S1, where there is left foraminal and far lateral disc protrusion likely encroaching on the exiting L5 nerve root and moderate left neural foraminal narrowing. 