 There lumbar vertebral column alignment is unchanged. There is mild disc desiccation, facet degeneration, and diffuse disc bulges in the lower lumbar spine. In particular, a right posterolateral disc osteophyte complex that results in moderate right L3-4 neural foraminal narrowing. In addition, a disc bulge with annular fissure is associated with mild bilateral neural foraminal narrowing at L4-L5. There is also severe bilateral neural foraminal narrowing at L5-S1. There is no significant spinal canal stenosis. The vertebral body heights are preserved. There is subcentimeter focal fat or hemangioma formation in the L4 vertebra, which is unchanged. The spinal cord and cauda equina nerve roots display normal signal and morphology. No abnormal enhancement are present in the spine. The paravertebral soft tissues are unremarkable.
No significant change in multilevel degenerative spondylosis in the lumbar spine since 2012, including moderate right L3-4 neural foraminal narrowing and severe neural foraminal narrowing bilaterally at L5-S1, but no significant spinal canal stenosis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.