Male 81 years old Reason: stenosis? History: Right lower extremity radiculopathy The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. Probable T11 hemangioma is incidentally noted. Mild degenerative endplate signal change at L5-S1. Otherwise no focal marrow signal abnormality is appreciated. The conus medullaris on sagittal imaging is grossly intact, with its tip at the L1-2 level.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: Mild broad-based disc bulge. Moderate facet hypertrophy. Mild central spinal stenosis. No neural foraminal narrowing. L4-5: Moderate facet hypertrophy. Broad-based bulge with superimposed central protrusion, with severe central spinal stenosis. Mild bilateral foraminal narrowing.L5-S1: Moderate facet hypertrophy. Broad-based disc bulge with superimposed left paracentral disc protrusion, with mild central spinal stenosis. Effacement of the left lateral recess, with the S1 nerve root posteriorly displaced. Moderate left and mild right neural foraminal narrowing.
Multilevel degenerative spondylosis, with central protrusion at L4-5 with severe central spinal stenosis, and other findings as above.