Claudication and radicular symptoms. There is multilevel degenerative spondylosis of the lumbar spine with diffuse loss of disc space height and fluid signal. At T12-L1, there is mild right facet joint hypertrophy with mild right neural foramen stenosis, but no significant spinal canal stenosis. At L1-L2, there is a slight disc bulge, but no significant spinal canal or neural foraminal stenosis. At L2-L3, there is bilateral facet hypertrophy with mild left and minimal right neural foraminal narrowing, but no significant spinal canal stenosis. At L3-L4, disc bulging, ligamentum flavum thickening, and bilateral facet hypertrophy result in mild right and moderate left bilateral neural foramen stenosis. At L4-5, there is trace disc bulging, mild ligamentum flavum thickening, and bilateral facet hypertrophy with mild right and mild-to-moderate left neural foraminal stenosis, but no significant spinal canal stenosis. At L5-S1, there is a no significant spinal canal or neural foraminal stenosis. There is partial sacralization of L5. The vertebral column alignment is within normal limits. The vertebral body heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. There is diffuse paraspinal muscle atrophy.
Multilevel degenerative spondylosis of the lumbar spine, as described in the findings section.