Spinal stenosis, pain For the purposes of numbering, there are 5 lumbar type vertebrae with hypoplastic ribs at T12 and partially sacralized L5 segment. Note this numbering scheme is different from prior MRI from 2011 but same as radiographs dated 6/9/2016.Vertebral body heights are within normal limits. There is exaggeration of the lumbar lordosis. Minimal L4-L5 anterolisthesis evident on prior radiographs and not appreciable on supine MRI. Alignment is otherwise within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.There is mild multilevel disc desiccation throughout the lumbar spine without significant disc height loss. Individual levels as described below:L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: No significant disc disease. No spinal canal or neural foraminal stenosis. There is moderate bilateral facet arthropathy, left worse than right, but similar to prior.L5-S1: No significant disc disease. No spinal canal or neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
1. No significant disc disease or evidence of spinal canal or neural foraminal stenosis at any level2. Prominent facet arthropathy at the L4-L5 level which may be contributing to patient's back pain.3. Please note comment regarding numbering scheme above.