Female, 76 years old, with right lower extremity radiculopathy in the L4 dermatome. Evaluate for stenosis. A mild levoscoliosis is demonstrated. Vertebral body alignment is otherwise within normal limits.Vertebral body heights are grossly preserved allowing for endplate irregularity and scattered Schmorl's nodes, particularly affecting the L3-4 level where there is evidence of edematous degenerative endplate signal abnormality. Edema also involves the right L3-4 facet complex. Elsewhere, no evidence of concerning marrow signal abnormality is detected.The visualized spinal cord, conus and cauda equina are within normal limits.The disks show diffuse loss of T2 signal. There is significant loss of disk height at L2-3 and mild loss of height at L3-4. Additional level specific findings are as follows:T11-12: Minimal bulging disk and very small central superiorly directed disk extrusion. No significant spinal canal stenosis. Mild neuroforaminal narrowing.T12-L1: No significant spinal canal stenosis or neuroforaminal narrowing.L1-2: Mild facet hypertrophy and moderate ligamentum thickening. No significant spinal canal stenosis. Mild neuroforaminal narrowing. L2-3: Mild facet hypertrophy. Moderate ligamentum flavum thickening. Mild bulging disk asymmetric to the right. Effacement of the right lateral recess but no significant generalized spinal canal stenosis. Moderate left and severe right neuroforaminal narrowing. L3-4: Moderate to severe facet hypertrophy on the right with a facet effusion. Moderate facet hypertrophy on the left. Moderate ligamentum flavum stenosis. Severe bilateral foraminal narrowing. L4-5: Moderate facet hypertrophy with small bilateral facet effusions. Moderate ligamentum flavum thickening. Mild bulging disk. No significant generalized spinal canal stenosis. Moderate left and mild right neuroforaminal narrowing. L5-S1: Moderate facet hypertrophy. Moderate ligamentum flavum thickening. Mild bulging disk. No significant spinal canal stenosis. Mild left foraminal narrowing.
1. Multilevel degenerative findings, most severely affecting the L2-3 level where there is severe loss of disk height, and the L3-4 level where there is edema along the endplates and moderate to severe degeneration of the right facet with edema and joint effusion.2. No significant generalized spinal canal stenosis. Severe foraminal narrowing is evident bilaterally at L3-4 and on the right at L2-3.