 The lumbar spine displays a normal lordotic curvature. The lumbar vertebral body and disk heights are preserved. There is heterogeneous marrow signal throughout the lumbar vertebrae, which is unchanged and likely related to fatty marrow infiltration. There is a small disc bulge at T11-T12 without significant spinal canal or neural foramen stenosis. There are no significant disc bulges or herniations in the lumbar spine. However, there is mild facet hypertrophy and ligamentum flavum thickening at multiple levels of the lumbar spine bilaterally. There is a subcentimeter right sacral perineural cyst. The spinal cord displays normal signal and morphology. There is diffuse atrophy of the paravertebral muscles.
1. Small disc bulge at T11-T12 without significant spinal canal or neural foramen stenosis. 2. Mild degenerative facet degenerative changes and ligamentum flavum thickening at multiple levels of the lumbar spine without significant central canal stenosis or neural foraminal narrowing.3. Small right sacral perineural cyst.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.