Female, 68 years old, with low back pain, prior EMG shows lumbar spine radiculopathy. A trace anterolisthesis of L4 relative to L5 is seen. A trace retrolisthesis of L2 relative to L3 is seen. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement is seen. Mild endplate edema is demonstrated at T12-L1.The visualized distal spinal cord, conus and cauda equina are unremarkable. No epidural abnormalities are suspected.T12-L1: Facet arthropathy. Minimal disc bulging. No spinal canal or foraminal stenosis.L1-2: Facet arthropathy. No significant spinal canal or foraminal stenosis. L2-3: Facet arthropathy. Ligamentum flavum thickening. Bulging disc. Minimal spinal canal narrowing. Moderate left and mild right foraminal narrowing. L3-4: Facet arthropathy. Ligamentum flavum thickening. Bulging disc. Moderate generalized spinal canal stenosis. Mild bilateral foraminal narrowing. L4-5: Marked facet arthropathy. Ligamentum flavum thickening. Bulging disc. Moderate generalized spinal canal stenosis. Mild left and minimal right foraminal narrowing. L5-S1: Marked facet arthropathy. Minimal bulging disc. No spinal canal stenosis. Mild right foraminal narrowing.
Multilevel disc disc and posteriorly degeneration is seen. L2-3, L3-4 and L4-5 and the most severely affected levels where there is mild to moderate stenosis of the spinal canal. A moderate narrowing of the left L2-3 neural foramen is seen. Elsewhere foraminal narrowing is mild.