 The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disc heights are well-maintained. There is disc dessication at L2-L3 and L3-L4. The marrow signal is heterogeneous with scattered foci of T1 hyperintense signal, which may represent focal fatty replacement or fat-containing hemangiomas. The distal spinal cord and conus are within normal limits with the conus terminating at the L1 level. There is a 9 mm right renal cyst incidentally noted.T11-T12: Mild disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. T12-L1: Mild disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. L1-L2: Disc bulge with annular fissure and superimposed central disc extrusion migrating 8 mm superiorly and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. L2-L3: Disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. L3-L4: Disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. L4-L5: Disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis. L5-S1: Disc bulge and bilateral facet degeneration. No significant spinal canal or foraminal stenosis.
1. Mild degenerative changes of the lumbar spine with mild facet arthrosis at L4-L5, L5-S1 and to a lesser degree more superiorly, which may contribute to low back pain.2. Disc bulge, annular fissure and small superimposed central disc extrusion with 8 mm superior migration at L1-L2 as well as disc bulges in the remaining lumbar levels. No significant spinal canal or foraminal stenosis of the lumbar spine. 