 There is mild exaggeration of the lumbar lordosis without sagittal spondylolisthesis. There is mild loss of height of the T12, L1, L2, and L4 vertebral bodies overall worse compared to the 12/31/2011 MRI, but appearing similar to the more recent 11/24/2014 CT. There are additional mild endplate deformity/Schmorl's nodes nodes involving T12-L5 which also appear similar to 11/24/2014 CT. There is no significant bone marrow edema to suggest acute compression fracture. The bone marrow is mildly heterogenous including small foci of decreased T1 and T2 signal within the L2 vertebral body and within the left sacrum. The focus in the L2 vertebral body appears unchanged from the 12/31/2011 exam. These areas do not demonstrate associated increased STIR signal to suggest edema and favored to be benign, although remain nonspecific. No clearly destructive osseous lesions are identified. There is mild loss of disc height at L1-L2. The T11-L2 discs are desiccated. The conus terminates at L1-L2. The paravertebral soft tissues are unremarkable. Individual levels as below:L1-L2: Mild disc bulge without significant central canal or foraminal stenosis.L2-L3: No significant central canal or foraminal stenosis.L3-L4: Mild disc bulge without significant central canal or foraminal stenosis.L4-L5: Mild disc bulge. Mild facet hypertrophy and ligamentum flavum thickening. Mild central canal stenosis. Minimal bilateral foraminal stenosis.L5-S1: No significant central canal or foraminal stenosis.
1.Multiple chronic mild vertebral body compression deformities without bone marrow edema to suggest acute fracture.2.Mild spondylosis as described above including mild central canal stenosis at L4-L5.3.Mild facet arthropathy, relatively worse at L4-L5 which may be contributing to patient's low back pain.