65-year-old female with chronic low back pain. There is grade 1 anterolisthesis of L4 on L5. There is moderate to severe degenerative disc disease affects L4-5 and L5-S1 with associated vertebral body endplate changes. Mild degenerative changes affect the SI joints. At T12-L4, there is no significant spinal canal or neural foramen stenosis. At L4-L5, there is moderate to severe degenerative disc disease and vertebral body endplate changes, as well as moderate facet joint and ligamentum flavum hypertrophy, and a disc bulge with moderate bilateral neuroforaminal narrowing and severe spinal canal stenosis with buckling of the adjacent cauda equina nerve roots. At L5-S1, there is a disc bulge and facet hypertrophy with trace fluid in the right facet joint, with mild bilateral neuroforaminal narrowing, but no significant spinal canal stenosis. The vertebral body heights are intact. There are bilateral renal lesions that are incompletely imaged and characterized.
1. Grade 1 anterolisthesis of L4 and L5 and degenerative spondylosis with moderate bilateral neuroforaminal narrowing and severe spinal canal stenosis at this level.2. Bilateral renal lesions that are incompletely imaged and characterized, but may represent cysts. A renal ultrasound may be useful for further evaluation, if clinically warranted.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.