78 year-old female with new radicular pain and back pain. The vertebral body heights are preserved. There is approximately 4 mm anterolisthesis of L4 on L5. Alignment is otherwise maintained. Bone marrow signal is within normal limits. No abnormal enhancement is identified. Multilevel degenerative disc disease with findings as described below.T12-L1: No disc bulge, spinal canal stenosis, or neuroforaminal narrowing.L1-L2: Minimal disc bulge. No significant spinal canal or neural foraminal stenosis.L2-L3: Moderate disc bulge asymmetric to the right. Mild facet hypertrophy. Moderate hypertrophy of the ligamentum flavum. Minimal left and moderate right neural foraminal stenosis. Moderate spinal canal stenosis.L3-L4: Postsurgical changes from left L3 laminectomy. Mild disc bulge. No significant spinal canal or neural foraminal stenosis.L4-L5: Post surgical changes from left L4 laminectomy. Diffuse disc bulge. Moderate facet arthropathy. Minimal right and moderate left neural foraminal stenosis. Minimal spinal canal stenosis.L5-S1: Trace disc bulge. No significant spinal canal or neural foraminal stenosis.
1. Postoperative changes from left L3 and L4 laminectomies.2. Multilevel spondylitic changes with moderate left L4-5 and right L2-3 neural foraminal stenosis.3. 4 mm anterolisthesis of L4 and L5.