49-year-old female with lower back 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. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable.L1-L2: No significant disc disease, spinal canal, or neural foraminal narrowing.L2-L3: No significant disc disease, spinal canal, or neural foraminal narrowing.L3-L4: Mild bilateral facet arthropathy. No significant disc disease, spinal canal, or neural foraminal narrowing.L4-L5: Moderate bilateral facet arthropathy. Loss of disc T2 signal and bulging disc with superimposed left foraminal annular fissure. Mild to moderate generalized spinal canal stenosis. Mild bilateral foraminal narrowing.L5-S1: Mild facet arthropathy. No significant disc disease, spinal canal, or neural foraminal narrowing.
Mild degenerative findings at the L4-5 level, including facet arthropathy and bulging disc. These result in mild to moderate generalized spinal canal and mild bilateral neural foraminal narrowing.