 The last well formed disc space is referred to as L5-S1. The spinal cord and cauda equina appear unremarkable. There is disc desiccation at L4-5 and L5-S1 discs with mild loss of disc height at L4-5 and moderate loss of disc height at L5-S1 with endplate degenerative changes at the L5-S1 endplates and mild enhancement along the posterior aspect of the L5-S1 disc. There is mild bilateral neural foramen stenosis at L5-S1, but no significant spinal canal stenosis. There are subcentimeter sacral perineural cysts. There is normal alignment of the lumbar spine with preserved vertebral body heights. There is a dominant right renal exophytic cyst and a few subcentimeter left renal cysts.
1.Mild degenerative spondylosis in the lower lumbar spine with mild bilateral neural foramen stenosis at L5-S1, but no significant spinal canal stenosis.2.No evidence of mass lesions within the spine.3.Large right renal exophytic cyst and few subcentimeter left renal cysts. A dedicated ultrasound exam may be useful for further evaluation.