Female, 76 years old, with low back pain. Trace retrolisthesis of L1 relative to L2 is seen. Spinal alignment is otherwise unremarkable. Vertebral body heights are preserved. Scattered mild endplate degenerative signal abnormality is seen. No concerning marrow replacement or marrow edema is detected.The visualized distal spinal cord, conus and nerve roots of the cauda equina are unremarkable. No epidural abnormality is suspected.T12-L1: Mild bulging disc. No significant spinal canal or foraminal stenosis.L1-2: Facet arthropathy and ligamentum flavum thickening. Bulging disc. Mild generalized spinal canal stenosis. Mild bilateral foraminal narrowing. L2-3: Facet arthropathy and ligamentum flavum thickening. Bulging disc with a superimposed left foraminal protrusion. Mild generalized spinal canal stenosis. Moderate left and mild right foraminal narrowing. L3-4: Facet arthropathy and ligamentum flavum thickening. Bulging disc. No significant spinal canal stenosis. Mild bilateral foraminal narrowing. L4-5: Facet arthropathy and ligamentum flavum thickening. Bulging disc asymmetric to the right. No significant spinal canal stenosis. No significant foraminal narrowing. L5-S1: Facet arthropathy and ligamentum flavum thickening. Prominence of the dorsal and ventral epidural fat. Bulging disc. Mild spinal canal narrowing. Moderate left and mild right foraminal narrowing.
Multilevel disc degeneration is seen causing mild spinal canal stenosis at L1-2 and L2-3. Moderate foraminal narrowing is seen on the left at L2-3 and on the left at L5-S1.