Bilateral lower extremity pain. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The imaged portion of the distal spinal cord displays normal signal and morphology. The conus medullaris terminates at L2. The paravertebral soft tissues are unremarkable. There are small anterior disc osteophytes at multiple level of the lower thoracic and lumbar spine. There are mild disc bulges at L3-L4, L4-L5 ,and L5-S1. Facet degenerative changes are also present throughout the lumbar spine, most pronounced at L2-3 through L4-5 with associated joint effusions and at most mild neural foraminal narrowing, but no significant spinal canal stenosis.
Multilevel degenerative spondylosis, including mild disc bulges at L3-L4, L4-L5 ,and L5-S1 and facet degenerative changes, particularly at L2-3 through L4-5 with at most mild neural foraminal narrowing, but no significant spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.