Diagnosis: Lumbago Acquired spondylolisthesisDiagnosis Edits: Clinical question: eval for spondylolysis or facet injurySigns and Symptoms: lbp for 1 1/2 years with extension Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There are pars interarticularis defects present bilaterally. This has not changed since the prior exam. There is minimal anterior subluxation of L5 on S1 which remains stable.At L4-5 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild loss of disc space height and mild disc desiccation at this level associated with some mild compression of the anterior aspect of the L4 superior endplate due to a large Schmorl's node.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.Spondylolysis at L5 is stable compared to the prior exam. There is minimal anterior subluxation of L5 on S1 which remains stable.2.There is mild degenerative disc disease present at L3-4 which is also stable.