69-year-old female. Chronic low back pain. Rule out degenerative disk disease, facet arthropathy. Nonenhanced CT of lumbar spine:CT examination of the lumbar spine cannot evaluate for herniation of disk material. If acute herniated disk is suspected an MRI examination should be performed.A bony density of vertebral column is unremarkable. Minimal grade 1 antral listhesis at L4 -- L5 is noted and the alignment the vertebral column is otherwise unremarkable.Advanced degenerative disk disease at L1 -- L2 with vacuum phenomenon and to a lesser degree degenerative disk disease throughout the rest of lumbar spine is noted.T12 -- L1.Mild degenerative disk disease and hypertrophic changes of posterior elements. No central spinal stenosis or neural foramina compromise.L1 -- L2.Advanced degenerative disk disease and vacuum phenomena. Hypertrophic changes of the articulating facets more pronounced on the left with vacuum reading the left facet complex is present. No detectable central spinal stenosis. I suspect compromise of the neural foramina secondary to asymmetric hypertrophic changes of posterior elements.L2 -- L3.Mild degenerative disk disease and shallow broad-based bulge of disk material. No central spinal stenosis. Hypertrophic changes of posterior elements appears slightly more prominent on the left with resultant mild left neural foramina compromise. No central spinal stenosis.L3 -- L4. Mild degenerative disk disease and hypertrophy changes of posterior elements which appears a slightly more pronounced on the right. No central spinal stenosis. No definitive neural foramina compromise.L4 -- L5.Mild to moderate degenerative disk disease. Minimal grade 1 grade anterolisthesis.Moderate to advanced hypertrophic changes of posterior elements which is more prominent on the left and with vacuum from. There is no central spinal stenosis. No definitive neural foramina compromise.L5 -- S1.Mild to moderate degenerative disk disease with loss of disk height and vacuum phenomenon. Extensive hypertrophic changes of posterior elements on the right and minimally on. No central spinal stenosis. Mild broad-based bulge of disk material. Possible mild compromise of bilateral neural foramina.
1.Degenerative disk disease and hypertrophic changes of posterior elements throughout the lumbar spine as detailed.2.Discrepancy in the degree of hypertrophic changes of posterior elements between the two sides at multiple levels as detailed. No detectable scoliosis is present.3.No central spinal stenosis at any level.4.Mild neural foramina compromise as detailed per level above.5.This examination cannot evaluate for herniated disk is clinically questioned. If concern for herniated disk exist an MRI is recommended.