Back and leg pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is grade 1 anterolisthesis of L4 and L5 which was also present on prior radiographs. Alignment is otherwise maintained. Bone marrow signal is benign with areas of T1 hyperintensity at multiple levels compatible with hemangiomas or foci of fat.. The conus medullaris is normal in position.Multilevel degenerative changes are seen, as described below:L1-L2: Minimal disc bulge and mild facet arthropathy. No spinal canal or neural foraminal stenosis.L2-L3: Minimal disc bulge with tiny central protrusion. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. Mild facet arthropathy. No spinal canal or neural foraminal stenosis.L4-L5: Grade 1 anterolisthesis with disc uncovering. There is advanced bilateral facet arthropathy as well as ligamentum flavum thickening. There is resulting moderate spinal canal stenosis. There is moderate left and mild right neural foraminal stenosis.L5-S1: Minimal disc bulge and moderate bilateral facet arthropathy. No spinal canal or neural foraminal stenosis.Paraspinous soft tissues are within normal limits.
1. Multilevel degenerative changes in the lumbar spine, worst at the L4-L5 level where there is advanced facet arthropathy and grade 1 anterolisthesis with associated moderate spinal canal stenosis as well as moderate left and mild right neural foraminal stenosis.2. Additional levels as above.