60-year-old female with worsening low back pain and left leg pain, history of lumbar stenosis Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. The visualized intra-abdominal and paraspinal contents are unremarkable.Disc desiccation is present throughout with significant disc height loss evident at L3/4 and L4/5. Scattered discogenic reactive endplate changes are again noted. These findings are stable.T11/12: Mild disc bulge and bilateral facet hypertrophy with mild central stenosis, unchanged.T12/L1: Asymmetric bulge to the right, ligamentum flavum thickening, moderate left facet hypertrophy, and mild to moderate right facet hypertrophy. There is mild central and moderate left neural foraminal stenosis, unchanged.L1/2: A symmetric bulge to the right, ligamentum flavum thickening, moderate left facet hypertrophy, and mild right facet hypertrophy. There is mild left and mild to moderate right neural foraminal stenosis. These findings are unchanged.L2/3: Asymmetric bulge to the right, ligamentum flavum thickening, and moderate bilateral facet hypertrophy. There is mild central, mild right lateral recess, mild left foraminal, and moderate right neural foraminal stenosis. These findings are unchanged.L3/4: Diffuse annular disc bulge, ligamentum flavum thickening, and moderate to severe bilateral facet hypertrophy. There is moderate central, moderate left lateral recess, marked right lateral recess, and moderate to severe bilateral neural foraminal stenosis. These findings are unchanged.L4/5: Diffuse annular disc bulge, ligamentum flavum thickening, severe left facet hypertrophy, and very severe right facet hypertrophy. There is moderate to severe central, marked bilateral lateral recess, and severe bilateral neural foraminal stenosis. These findings are unchanged.L5/S1: Mild disc bulge, severe left facet hypertrophy, and very severe right facet hypertrophy. There is a small right facet effusion. Reactive marrow changes are noted extending to the right L5 pedicle. There is moderate to severe left neural foraminal and moderate right neural foraminal stenosis. These findings are unchanged.
1.T11/12: Mild central stenosis, unchanged.2.T12/L1: Mild central and moderate left neural foraminal stenosis, unchanged.3.L1/2: A mild left and mild to moderate right neural foraminal stenosis. These findings are unchanged.4.L2/3: Mild central, mild right lateral recess, mild left foraminal, and moderate right neural foraminal stenosis. These findings are unchanged.5.L3/4: Moderate central, moderate left lateral recess, marked right lateral recess, and moderate to severe bilateral neural foraminal stenosis. These findings are unchanged.6.L4/5: Moderate to severe central, marked bilateral lateral recess, and severe bilateral neural foraminal stenosis. These findings are unchanged.7.L5/S1: Moderate to severe left neural foraminal and moderate right neural foraminal stenosis. These findings are unchanged.