59-year-old female with low back pain and left hip pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is heterogeneous without destructive lesions. The conus medullaris is normal in position and signal intensity. There is partially visualized calcification and hypertrophy of the ligamentum flavum/facet hypertrophy at T10-T11.Multilevel degenerative changes are seen, as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: Facet and ligamentum flavum hypertrophy, greater on the left and mild disk bulge. Mild to moderate left and mild right neuroforaminal narrowing. Mild narrowing of the spinal canal.L3-L4: Moderate bilateral facet and ligamentum flavum hypertrophy and minimal disk bulge. Mild bilateral neuroforaminal narrowing. Mild narrowing of the spinal canal.L4-L5: Moderate bilateral facet and ligamentum flavum hypertrophy. No significant disc disease. No spinal canal or neural foraminal stenosis. L5-S1: Mild bilateral facet hypertrophy. No significant disc disease. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Multilevel degenerative changes in the lumbar spine without high grade spinal canal stenosis at any level. There is mild to moderate neuroforaminal narrowing at L2/3 and L3/4, as described above. 2. Advanced facet arthropathy at L3-4 and L4-5 which may be contributing to patient's low back pain.