 For the purposes of numbering, there are 5 lumbar type vertebral bodies with the most inferior well-defined disc space labeled L5-S1. There is normal alignment of the vertebral bodies. Vertebral body heights are normal. Bone marrow signal is benign. Fat density is seen in the vertebral body of L1 compatible with focal fat or a small hemangioma. No enhancing lesions in the vertebral bodies. Small intraosseous lipoma is noted within the left iliac wing. The conus medullaris terminates at the lower L1 level.Mild degenerative changes, with individual levels as below:At the level off T12-L1 there is no spinal or neural foramina compromise.At the level of L1-L2 there is no spinal or neural foraminal compromise.At the level of L2-L3 minimal disc bulge with no spinal or neural foraminal compromise. At the level of L3-L4 there is mild disc bulge with no bilateral or neural foraminal compromise. There is mild facet hypertrophy bilaterally.At the level of L4-L5 there is mild disc bulge with small central protrusion and facet arthropathy on the left. There is also prominence of the epidural fat at this level as well. There is no significant spinal stenosis. There is mild to moderate right and mild left neural foraminal stenosis.At the level of L5-S1 there is epidural fat without significant spinal canal stenosis. There is facet arthropathy, worse on the right and small right-sided annular fissure. There is mild right-sided neural foraminal stenosis. No significant left neural foraminal stenosis.
1. Mild degenerative changes in the lumbar spine with neural foraminal narrowing bilaterally at L4-L5 and and on the right at L5-S1 as detailed above.2. No suspicious lesions in the lumbar spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.