69-year-old female with increasing leg pain with standing which is better when sitting. Evaluate for progression of lumbar spinal stenosis. There are five lumbar type vertebral bodies present. There is grade 1 retrolisthesis of L2 on L3 which is new from the prior MRI and unchanged grade 1 anterolisthesis of L4 on L5 and grade 1 retrolisthesis of L5 on S1. There are multiple Schmorl's nodes including the the T11 vertebral body which is new since May 2015. The vertebral body heights are well-maintained. Edema is noted within the intervertebral disks at multiple levels and is likely degenerative in etiology. No suspicious marrow signal abnormality is appreciated. The conus medullaris terminates at T12-L1.L1-L2: Loss of disc height and mild diffuse disc bulge as well as bilateral facet hypertrophy and ligamentum flavum thickening with mild left neural foraminal stenosis. No significant right neural foraminal or spinal canal stenosis.L2-L3: Degenerative disc disease with loss of disc height and mild diffuse disc bulge asymmetric to the right resulting in partial effacement of the right lateral recess and moderate right neural foraminal stenosis. There is bilateral facet hypertrophy, ligamentum flavum thickening and prominent epidural fat resulting in mild spinal canal stenosis. No significant left neural foraminal stenosis. L3-L4: Degenerative disc disease, bilateral facet hypertrophy and ligamentum flavum thickening. No significant neural foraminal or spinal canal stenosis.L4-5: Degenerative disc disease, bilateral facet hypertrophy and ligamentum flavum thickening with mild to moderate right neural foraminal narrowing and mild central spinal stenosis. No left neural foraminal narrowing.L5-S1: Degenerative disc disease with loss of disc height, advanced bilateral facet hypertrophy and ligamentum flavum thickening. There is mild bilateral neural foraminal stenosis, relatively worse right. No significant spinal stenosisThere is fatty atrophy of the paraspinal and psoas muscles.
1.Mild progression of multilevel degenerative disc disease with neural foraminal narrowing worst at L2-3 and mild central spinal stenosis at L2-3 and L4-5.2.There are multiple Schmorl's nodes including at the T11 vertebral body which is new since May 2015