Female, 72 years old, with left lower extremity swelling and distal lower extremity weakness. The L5 vertebral body demonstrates transitional morphology. Vertebral body heights are preserved and alignment is grossly anatomic. No pathologic marrow replacement, edema or enhancement is seen. An enhancing right paraspinal mass at T12 does not appear to have significantly changed in size. The visualized distal spinal cord and conus are within normal limits. A conjoined left L5-S1 nerve root is redemonstrated. No pathologic intrathecal enhancement is seen.L1-2: Facet arthropathy. Disc bulging. Mild generalized spinal canal stenosis. Mild bilateral foraminal narrowing. No interval changes. L2-3: Facet arthropathy. Disc bulging. Moderate generalized spinal canal stenosis. Mild bilateral foraminal narrowing. No interval changes. L3-4: Advanced facet arthropathy and ligamentum flavum thickening. Disc bulging. Moderate generalized spinal canal stenosis with some crowding of the cauda equina. Moderate bilateral foraminal narrowing. No interval changes. L4-5: Facet arthropathy. Bulging disc. No significant spinal canal stenosis. Moderate left and mild right foraminal narrowing. No interval changes. L5-S1: No significant spinal canal or foraminal stenosis. Conjoined left L5-S1 nerve root is seen. Mild ill-defined enhancement is seen within the paraspinal musculature of the lower back, right side more than left. No fluid collections are detected.
1.No change in the severity of multilevel disc and posterior element degeneration.2.A right paraspinal mass at T12 does not appear to have changed significantly.3.Mild inflammation is suspected in the paraspinal musculature of the lower back. This may be related to strain or prolonged recumbency.4.No new findings are seen which would account for the patient's symptoms.