75-year-old woman with history of buttock and left lower extremity burning pain. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is levoscoliosis of the lumbar spine with apex at L2/L3. Additionally, there is minimal anterolisthesis of L5 on S1. There are multiple Schmorl's nodes and areas of endplate T1 and T2 hyperintensity suggesting fatty change, most predominantly at L2/L3. The intervertebral discs are desiccated with loss of height. The conus medullaris is normal in position at L1/L2.Multilevel degenerative changes are seen, as described below:L1-L2: There is a disc bulge, facet arthropathy, and ligamentum flavum thickening. There is no significant spinal canal stenosis. There is mild left and moderate right neural foraminal stenosis.L2-L3: There is a disc bulge, facet arthropathy, and ligamentum flavum thickening. There is mild spinal canal stenosis. There is mild bilateral neural foraminal stenosis.L3-L4: There is a disc bulge, facet arthropathy, and ligamentum flavum thickening, right greater than left. There is mild spinal canal stenosis and narrowing of the right lateral recess. There is mild left and moderate right neural foraminal stenosis.L4-L5: There is a disc bulge, facet arthropathy, and ligamentum flavum thickening. There is mild spinal canal stenosis. There is moderate to severe right and moderate left neural foraminal stenosis.L5-S1: There is a disc bulge, advanced facet arthropathy, and ligamentum flavum thickening. There is no significant spinal canal stenosis. There is severe left neural foraminal stenosis and mild right neural foraminal stenosis.There are bilateral renal cysts.
Multilevel degenerative disc disease, facet arthropathy, and scoliosis. No high-grade spinal canal stenosis at any level. Multilevel neural foraminal narrowing, worst at L5/S1 where there is severe neural foraminal stenosis with possible impingement of the exiting left L5 nerve root. Additional details as above.