Radiculopathy of lower extremities Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is levoscoliosis of the lumbar spine with apex at the L2-L3 level. There is also mild retrolisthesis of T12 on L1 and minimal anterolisthesis of L3 on L4 and L4 and L5. These findings have progressed. There is also multilevel disc desiccation with vacuum phenomena present at the L4-L5 and L5-S1 levels. Bone marrow signal is benign. The conus medullaris is at the lower limits of normal at the L2-L3 level.Additional details regarding multilevel degenerative changes as below: T12-L1: Mild retrolisthesis at this level is new since prior. There is also a mild disc bulge without significant spinal canal stenosis. Neural foramina are grossly patent based on the sagittal images.L1-L2: Disc bulge eccentric to the left and tiny central protrusion without significant spinal canal or neural foraminal stenosis. Bilateral facet arthropathy.L2-L3: Disc bulge, ligamentum flavum thickening, and advanced bilateral facet arthropathy contribute to mild to moderate spinal canal stenosis including the lateral recesses and slightly slightly worse in the interval. There is also mild to moderate bilateral neural foraminal stenosis.L3-L4: There is advanced bilateral facet arthropathy which along with ligamentum flavum thickening and disc bulge contributes to mild to moderate spinal canal stenosis including effacement of the lateral recesses. There is also moderate right and mild to moderate left neural foraminal stenosis.L4-L5: There is advanced bilateral facet arthropathy, which along with ligamentum flavum thickening, and disc bulge contributes to mild to moderate spinal canal stenosis including effacement of the lateral recesses. There are small annular fissures involving the left aspects of the disc. There is mild to moderate right and moderate to severe left neural foraminal stenosis which is progressed in the interval.L5-S1: There is disc bulge eccentric to the left which effaces the left lateral recess and also contributes to moderate to severe left neural foraminal stenosis which is worse in the interval. There is also mild right neural foraminal narrowing. No significant central spinal canal stenosis. There is moderate bilateral facet arthropathy.Paraspinous soft tissues are within normal limits.
1. Multilevel degenerative changes throughout the lumbar spine which have overall mildly progressed on MRI study from 9/2/2009. There is levoscoliosis.2. There is mild to moderate spinal canal stenosis at the L2-L3, L3-L4, and L4-L5 levels.3. There is multilevel neural foraminal stenosis, worst at the left L4-L5 and left L5-S1 levels where there is moderate to severe stenosis and progressed in the interval. Additional details as above.