Claudication, question neurogenic. Rule out lumbar disc disease and spinal stenosis. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is straightening of the lumbar spinal curvature as seen before. Alignment is otherwise within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below, overall similar to prior MRI from 2/14/2012L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L3-L4: Mild disc bulge. No spinal canal or neural foraminal stenosis.L4-L5: Disc bulge with central annular fissure, mild bilateral facet arthropathy and ligamentum flavum thickening. There is no significant central spinal canal stenosis. Mild bilateral neural foraminal stenosis. L5-S1: Disc bulge and mild bilateral facet arthropathy. There is partial effacement of the right lateral recess. No significant central spinal canal stenosis. There is mild to moderate bilateral neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
Multilevel degenerative changes in the lumbar spine are not significantly changed since 2/14/2012. There is no significant central spinal canal stenosis at any level as questioned. 