62-year-old female with right lumbar radicular pain. There is 8 mm of anterolisthesis of L4 upon L5. There are mild multilevel Schmorl's nodes; otherwise, the vertebral body heights are intact. There is multilevel disc desiccation without significant disc space loss. The vertebral bone marrow signal is unremarkable. There is no abnormal signal within the distal cord and conus medullaris, which ends at L1-L2. At L3-L4, there is mild ligamentum flavum hypertrophy without significant spinal or neural foramen stenosis. At L4-L5, there is a disc bulge that is eccentric to the left, moderate ligamentum flavum hypertrophy, moderate spinal canal stenosis, and mild bilateral neural foramen stenosis. At L5-S1, there is a mild disc bulge with small annular fissure, mild ligamentum flavum hypertrophy, and mild bilateral neural foraminal stenosis without significant spinal stenosis. There are multiple T2 hyperintense foci in the myometrium of the uterus.
1. Grade 1 anterolisthesis of L4 upon L5 and mild degenerative spondylosis in the lower lumbar spine.2. Findings suggestive of adenomyosis. Dedicated pelvic ultrasound may be useful for further evaluation.