Male, 56 years old, with back pain and left leg pain. Spinal alignment is anatomic. Vertebral body morphology is normal. No concerning marrow replacement or evidence of marrow edema is detected.The visualized spinal cord, conus and cauda equina are unremarkable.L1-2: Unremarkable. L2-3: Unremarkable. L3-4: Mild facet hypertrophy and ligamentum flavum thickening. Loss of disc height and disc bulging. Very mild spinal canal narrowing. Severe left and moderate right foraminal narrowing. L4-5: Moderate facet hypertrophy and ligamentum flavum thickening. Mild bulging disc. No significant spinal canal stenosis. Severe right and moderate left foraminal narrowing. L5-S1: Mild facet hypertrophy. No significant spinal canal or neuroforaminal stenosis.
1.Disc degeneration and posterior element hypertrophy at L3-4 resulting in a mild spinal canal stenosis, severe left and moderate right foraminal narrowing.2.Degenerative findings at L4-5 without significant spinal canal stenosis, but with severe right and moderate left foraminal narrowing.