 There is normal alignment of the vertebral bodies. The height of the vertebral bodies and the disks is normal. There is normal marrow signal. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized paraspinal contents are unremarkable.Disc desiccation with mild disc height loss is present at L4/5 and L5/S1, unchanged.T12-L1: No evidence of disc bulge. No spinal or foraminal compromise. These findings are unchanged.L1-L2: No evidence of disc bulge. No spinal or foraminal compromise. These findings are unchanged.L2-L3: No evidence of disc bulge. No spinal or foraminal compromise. These findings are unchanged.L3-L4: No evidence of disc bulge. No spinal or foraminal compromise. These findings are unchanged.L4-L5: There has been interval progression of a previously demonstrated left paracentral/foraminal shallow disc protrusion abutting the descending left L5 nerve root, now resulting in new mild left neural foraminal stenosis with new abutment of the adjacent foraminal L4 nerve root. L5-S1: Redemonstrated is a broad-based central disc protrusion with annular tears. This abuts and flattens bilateral S1 nerve sheath origins. There is minimal right foraminal narrowing and mild central spinal stenosis. These findings are unchanged.Incidental note is made of ovarian cysts.
1.L4-L5: There has been interval progression of a previously demonstrated left paracentral/foraminal shallow disc protrusion abutting the descending left L5 nerve root, now resulting in new mild left neural foraminal stenosis with new abutment of the adjacent foraminal L4 nerve root. 2.L5-S1: Redemonstrated is a broad-based central disc protrusion with annular tears. This abuts and flattens bilateral S1 nerve sheath origins. There is minimal right foraminal narrowing and mild central spinal stenosis. These findings are unchanged.