 Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. A prominent benign hemangioma is evident within the T11 vertebral body. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation is evident at T10/11, L4/5, and L5/S1 with mild disc height loss at L4/5.Bilateral facet hypertrophy and ligamentum flavum thickening at T10/11 (right greater than left) encroach the central canal and right neural foramen without significant resulting stenosis.T12/L1: Unremarkable.L1/2: Mild left facet hypertrophy and slight ligamentum flavum thickening without stenosis.L2/3: Mild bilateral facet hypertrophy and slight ligamentum flavum thickening without stenosis. There is an approximate 6 mm maximal diameter cystic appearing structure along the posterior aspect of the right facet joint with an MRI appearance most consistent with synovial cyst.L3/4: Asymmetric bulge to the right, mild bilateral facet hypertrophy, and slight ligamentum flavum thickening. There is an approximately 7 mm maximal diameter cystic appearing structure along the posterior aspect of the right facet joint with an MRI appearance most consistent with synovial cyst. There is mild right neural foraminal stenosis.L4/5: There is a broad-based right paracentral/foraminal disc protrusion with prominent annular tear which results in mild right lateral recess and mild right neural foraminal stenosis. There is also mild bilateral facet hypertrophy and slight ligamentum flavum thickening. There is no central or left neural foraminal stenosis.L5/S1:Diffuse annular disc bulge which abuts and slightly flattens bilateral S1 nerve root sheath origins and causes mild bilateral neural foraminal stenosis. There is also mild left facet hypertrophy. There is no central stenosis.SI Joints: There is a small bridging marginal osteophyte involving the right SI joint consistent with minimal osteoarthritic change.
1.L3/4: Mild right neural foraminal stenosis.2.L4/5: There is a broad-based right paracentral/foraminal disc protrusion with prominent annular tear which results in mild right lateral recess and mild right neural foraminal stenosis. 3.L5/S1:Diffuse annular disc bulge which abuts and slightly flattens bilateral S1 nerve root sheath origins and causes mild bilateral neural foraminal stenosis. 