 There are disk osteophyte complexes with ligamenta flava thickening causing mild/moderate spinal canal stenoses at C3-4 through C5-6. However, there is no evidence of acute cord compression or cord signal abnormality.The most inferior well formed disk space is referred to as L5-S1. Dedicated imaging through the lumbar spine shows normal vertebral body and disk heights except at L4-5 where there is disk desiccation and moderate loss of disk height. There is normal lumbar alignment. The conus terminates at L1-2.T12-L1: No disk herniation or spinal stenosis.L1-2: No disk herniation or spinal stenosis. L2-3: No disk herniation or spinal stenosis. Moderate bilateral facet arthropathy.L3-4: Mild disk bulge and ligament flava thickening with moderate bilateral facet arthropathy causing mild spinal canal and bilateral neural foraminal stenosis.L4-5: Diffuse disk bulge with large central/right paracentral disk protrusion causing severe spinal canal stenosis. Moderate facet arthropathy with no significant neural foraminal stenosis.L5-S1: Disk bulge with tiny central disk protrusion with no spinal stenosis. Disk material abuts the bilateral S1 nerve roots in the subarticular zones without significant displacement or stenosis.
1.No evidence of cord compression.2.Multilevel lumbar spondylosis as described above, worst at L4-5 where there is severe spinal canal stenosis.