 Five lumbar type vertebral bodies are presumed to be present. The patient is status post fusion with integrated anterior plate, screw, and intervertebral spacer devices at L3/L4 and L4/L5. Additionally, there is spinous process fixation of L3/L4 and L4/L5. Vertebral body heights are preserved. There is straightening of the lumbar spine. 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. There is slight increase T2 signal in the paraspinal muscles and subcutaneous tissues posteriorly, expected in the postoperative setting. The visualized intra-abdominal and paraspinal contents are unremarkable. Vertebral body heights are within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.L1/2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2/3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3/4: Minimal disc bulge. Spinal canal and the neural foramina are patent.L4/5: No significant disc disease. No spinal canal or neural foraminal stenosis.L5/S1:No significant disc disease. No spinal canal or neural foraminal stenosis.Mild multilevel facet arthropathy. The sacroiliac joints demonstrate mild degenerative changes but are otherwise unremarkable.
Postsurgical changes of L3 to L5 fusion without significant spinal canal or neural foraminal stenosis at any level. Hardware integrity may be better assessed with radiography or CT. 