55-year-old man with history of lumbar radiculopathy. Five lumbar type vertebral bodies are presumed to be present. There are degenerative endplate changes with Schmorl's nodes, otherwise vertebral body heights are within normal limits. Alignment is within normal limits. An area of T2 hyperintense signal and T1 isointense signal is seen in the posterior L1 vertebral body extending into the right pedicle (500/6). There is no cortical destruction. Additionally, a similar, smaller round lesion is seen in the L2 right pedicle. These lesions are favored to represent hemangiomas. The bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:T11-T12: There is disc desiccation and loss of disc height with a disc bulge. Although this level was not imaged on the axial sequences, there is at least moderate narrowing of the spinal canal.T12-L1: There is disc desiccation and loss of disc height. Disc osteophyte complex causes mild-to-moderate narrowing of the spinal canal, moderate narrowing of the right neural foramen and mild narrowing of the left neural foramen.L1-L2: Relatively minimal disc disease. There is minimal disc bulge without significant narrowing of the lateral recesses, neural foramina, or spinal canal.L2-L3: There is disc desiccation along with slight bulging of the disc and ligamentum flavum hypertrophy. This causes mild neural foraminal narrowing bilaterally. No spinal canal stenosis.L3-L4: There is disc desiccation along with slight bulging of the disc and ligamentum flavum hypertrophy. This causes mild neural foraminal narrowing bilaterally. No spinal canal stenosis.L4-L5: There is disc desiccation, height loss, and formation of disc osteophyte complex. There is moderate neural foraminal narrowing on the right and severe neural foraminal narrowing on the left. There is mild central canal stenosis.L5-S1: There is disc desiccation with a central posterior protrusion. This causes mild narrowing of the left lateral recess and neural foramen. There is impression on the thecal sac without significant central canal stenosis.Simple bilateral renal cysts noted. Otherwise, paraspinous soft tissues are within normal limits.
Degenerative changes as described above with multilevel neural foraminal and spinal canal stenosis.