 There are 5 lumbar type vertebral bodies. The alignment of the lumbar spine is anatomic. The vertebral body heights are preserved. There is no evidence of acute fracture or subluxation. The bone marrow signal is unremarkable, including a small probable hemangioma in the L3 vertebral body. There is multilevel lower lumbar degenerative spondylosis. In particular, there is interval worsening L5-S1 disc disease at L5-S1, now with a disc extrusion that is slightly eccentric to the right and impinges upon the caudal equina nerve roots, particularly in the right lateral recess. There is also an unchanged right L3-4 lateral recess disc protrusion that contacts the exiting nerve roots and results in mild right neural foraminal stenosis. The spinal canal is congenitally slender. The conus is normal in signal and morphology and terminates at T12-L1. The visualized intra-abdominal and paraspinal contents are unremarkable.
1.Worsening L5-S1 disc disease at L5-S1, now with a disc extrusion that impinges upon the caudal equina nerve roots. 2.Unchanged L3-4 right lateral recess disc extrusion, which encroaches upon the exiting L3 nerve root.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.