54-year-old male with lower back pain. Evaluate for lumbar degenerative changes. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is a mild disc bulge and mild facet hypertrophy causing mild bilateral neuroforaminal stenosis but no significant spinal canal compromise.L4-5: There is a mild disc bulge and mild facet hypertrophy causing mild bilateral neuroforaminal stenosis but no significant spinal canal compromise.L5-S1: There is a mild disc bulge and mild facet hypertrophy causing mild bilateral neuroforaminal stenosis but no significant spinal canal compromise.
Mild stable degenerative changes without significant spinal canal compromise. Mild bilateral neural foraminal stenosis involving the L3-4 through L5-S1 levels levels which is unchanged.