 Alignment of the lumbar spine is anatomic. For numbering purposes, there are 5 lumbar-type vertebral bodies. The vertebral body heights are preserved. The bone marrow signal is within normal limits. Mild degenerative spondylosis affects the lumbar spine, most notably at L4-5 and L5-S1 where there is disc desiccation. The conus is normal in signal and morphology, terminating at the L1-L2 level. There is no abnormal leptomeningeal or epidural enhancement to suggest metastatic disease. An enlarged right retroperitoneal lymph node is present. T12/L1: No spinal canal stenosis or neural foraminal narrowing.L1/2: No spinal canal stenosis or neural foraminal narrowing.L2/3: No spinal canal stenosis or neural foraminal narrowing.L3/4: Mild disc bulge without spinal canal stenosis or neural foraminal narrowing.L4/5: Mild disc bulge without spinal canal stenosis. Minimal right neural foraminal narrowing and no significant left neural foraminal narrowing. Enhancement surrounding the facet joints is likely degenerative in etiology. A small posteriorly directly synovial cyst is present on the left.L5/S1:Mild disc bulge without spinal canal stenosis. Mild to moderate right neural foraminal narrowing and no significant right neural foraminal narrowing.Mild facet arthropathy is present throughout the lumbar spine.
1. No evidence of metastatic disease to the lumbar spine.2. Mild degenerative changes as detailed above without spinal canal stenosis at any level in the lumbar spine. 