57-year-old female with history of persistent back pain. Lumbar spine alignment is within normal limits. Vertebral body heights are maintained. Bone marrow signal intensity is benign. The cord is unremarkable. The conus terminates at the level of T1.Multilevel degenerative disc disease is present as follows:T12-L1: There is a very small right paracentral disc protrusion. No significant neuroforaminal or spinal canal stenosis.L1-2: There is a mild disc bulge resulting in mild spinal canal stenosis. No significant neuroforaminal stenosis.L2-3: There is a mild disc bulge. There is no significant spinal canal stenosis. Mild left neuroforaminal stenosis.L3-4: There is a moderate disc bulge with a left paracentral disc protrusion which is new resulting in moderate spinal canal stenosis. There is moderate neuroforaminal narrowing on the left and mild on the right. Mild facet hypertrophy.L4-5: There is a moderate disc bulge. Mild facet hypertrophy. Mild bilateral neuroforaminal narrowing. No significant spinal canal stenosis. Mild facet hypertrophy.L5-S1: There is no significant disc disease. Mild right neuroforaminal stenosis. Mild facet hypertrophy. No significant spinal canal stenosis. There is a synovial cyst present along the posterior aspect of the L5 facet comlex extending into the paraspinal soft tissues which is larger.
1. New disc herniation at L3-4 resulting in moderate spinal canal stenosis and neuroforaminal narrowing as above.2. Enlarging synovial cyst posterior to the L5 facet complex extending into the paraspinal soft tissues.3. Progressive degenerative disc disease as above.