History of decreased rectal tone and back pain, evaluate for lumbar compression. There are apparently size lumbar vertebrae based on the position of the iliolumbar ligament. There is mild retrolisthesis of L5 on L6. The vertebral body heights are preserved. There is loss of disc space height at L5-L6 and L6-S1 with corresponding disc desiccation and bulges, which appear to have decreased in size. In conjunction with bilateral facet arthropathy, there is mild bilateral neural foraminal stenosis, but no significant spinal stenosis. The vertebral bone marrow signal is unremarkable. The distal spinal cord and conus medullaris display normal signal and morphology. The paravertebral soft tissues are unremarkable.
There are apparently size lumbar vertebrae. Degenerative spondylosis at L5-L6 and L6-S1 results in mild bilateral neural foraminal stenosis, but no significant spinal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.