History of low back pain, evaluate for lymphadenopathy. There is levorotoscoliosis centered at L2-3. There is grade 1 anterolisthesis of L4 over L5. The imaged portions of the spinal cord is unremarkable. There vertebral body heights are preserved and the vertebral bone marrow signal is unremarkable, including focal fat or hemangiomas. There is mild lower lumbar epidural lipomatosis. There is multilevel vacuum disc phenomenon. At T12-L1, there is no significant spinal canal or neural foramen stenosis. At L1-L2, there is ligamental thickening and facet arthropathy and a disc bulge with mild right neural foraminal stenosis, but no spinal canal or neural foraminal stenosis. At L2-L3, there is a disc bulge, ligamentum flavum hypertrophy, and facet arthropathy with moderate right neural foraminal narrowing and slight spinal canal narrowing. At L3-L4, there is a disc bulge, ligamentum flavum hypertrophy, and facet arthropathy with severe left foraminal stenosis and mild right foraminal stenosis, as well as mild narrowing of the spinal canal. At L4-L5, there is a disc bulge with mild narrowing of the left neural foramina and moderate to severe narrowing of the spinal canal, but no significant narrowing of the right neural foramen. At L5-S1, there is a disc bulge, ligamentum flavum hypertrophy, and facet arthropathy with moderate narrowing of the left neural foramen and mild to moderate spinal canal stenosis. There is diffuse paraspinal muscle atrophy.
1. Levorotoscoliosis and grade 1 anterolisthesis of L4 on L5.2. Multilevel degenerative spondylosis that is most pronounced at the L3-4 and L4-5 levels.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.