 For the purposes of reference, the last rib bearing vertebral body is at T12 and 5 lumbar vertebral bodies visualized. Images are slightly slightly limited by suboptimal signal to noise.The conus medullaris ends at the level of the mid L1. Distal cord is unremarkable.There is a stable mild-moderate chronic compression fracture of L4. There is a chronic compression fracture of T12 with moderate decrease in height of its right aspect and the mild decreased in height of its left aspect.There is stable mild retrolisthesis of L3 on L4.Mild increased STIR marrow signal is seen associated with T11, T12, L3, and L4 vertebral bodies, slightly more extensive at L3 and L4, but otherwise unchanged since the previous study.At T11-T12 there is high T2 signal within the disc space, most likely representing chronic fluid with no visualization of disc signal. There is bilateral moderate foraminal stenosis, with effacement of the foraminal fat perhaps due to chronic inflammatory changes.At T12-L1, there is no evidence of spinal stenosis or neural foraminal compromise.At L1-L2, there is no evidence of spinal stenosis. There is mild right facet hypertrophy with mild right neural foraminal stenosis.At L2-L3, there is broad-based mild to moderate disc bulge. There is moderate spinal stenosis and effacement of the anterior CSF space. There is mild bilateral facet hypertrophy with moderate to severe stenosis of the right neural foramen and mild to moderate narrowing of the left neural foramen.At L3-L4, there is mild disc bulge. The disc is mildly uncovered. There is a moderate spinal stenosis with partial effacement of the anterior CSF space. Facet hypertrophy is seen bilaterally, more on the left. Bilateral moderate to severe stenosis of the neural foramina is seen. The foraminal fat is not identified, most likely due to chronic infection. Increased T2 signal is seen in the disc space which is unchanged since the previous study. Encroachment of the lateral recesses is seen.At L4-L5, there is mild disc bulge with mild spinal stenosis. There is bilateral facet hypertrophy, left more than the right. There is severe neural foraminal narrowing on the left and moderate foraminal narrowing on the right.At L5-S1, mild facet hypertrophy is seen bilaterally.There is a slight asymmetric increase in T1/T2 signal in the right psoas and iliacus muscles which in part may be artifactual, although could also relate to asymmetric fatty replacement and/or sequelae of chronic infection.Subcentimeter cysts are noted in the kidneys bilaterally. Small bone island is seen in the left iliac wing with low T1 and T2 signal.
1. Redemonstration of now chronic discitis/osteomyelitis at L3-L4 and T11-T12, not significantly changed since the previous study. 2. Moderate central spinal stenosis persisting at L2-L3 and L3-L4, unchanged.3. Bilateral neural foraminal compromise in lumbar spine as described above, most severe at the level of L3-L4. 