 There is mild levo thoracolumbar and moderate dextro lumbar S-shaped scoliosis. There is straightening of the usual lumbar lordosis with mild anterolisthesis of L5 on S1 and mild right lateral translation of L4 on L5. There is mild wedge deformity of the L5 vertebral body. There is severe loss of disc height at L2/3 through L5/S1. The vertebral bone marrow signal is mildly heterogeneous with endplate degenerative changes, most severe at L4/5, where there is evidence of edema. The spinal cord displays normal signal and morphology. The tip of the conus medullaris terminates at the level of L1/2. There is a posteriorly directed subcentimeter synovial cyst at L5-S1 on the left. Incidentally noted are degenerative changes at the right grater than left sacroiliac joints. T10/11: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate bilateral foraminal stenosis and mild spinal canal stenosis.T11/12: Disc bulge eccentric to the right, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate right foraminal stenosis and mild spinal canal stenosis.T12/L1: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum. No significant spinal canal or foraminal stenosis.L1/2: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to mild left greater than right foraminal stenosis. No significant spinal canal stenosis.L2/3: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate left and mild right foraminal stenosis. No significant spinal canal stenosis.L3/4: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate left and mild right foraminal stenosis and mild spinal canal stenosis.L4/5: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate bilateral foraminal stenosis. No significant spinal canal stenosis.L5/S1: Disc bulge, bilateral facet arthropathy, and thickening of the ligamentum flavum, contributing to moderate to severe bilateral foraminal stenosis. No significant spinal canal stenosis.
Advanced degenerative lumbar spondylosis and scoliosis with variable degrees of neural foramen and spinal canal stenosis at multiple levels, but most pronounced at L4-5 and L5/S1.