72-year-old female with history of right greater than left lower extremity radiculopathy. There are multilevel degenerative changes with mild left neural foramen stenosis at L4-5, moderate to severe left L5-S1 neural foramen stenosis, and mild right L5-S1 neural foramen stenosis, but no significant spinal canal stenosis. There is a subcentimeter perineural cyst at S2 with remodeling of the adjacent bone. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. The spinal cord displays normal signal and morphology. There is diffuse paraspinal muscle atrophy.
Multilevel degenerative spondylosis with mild left neural foramen stenosis at L4-5, moderate to severe left L5-S1 neural foramen stenosis, and mild right L5-S1 neural foramen stenosis, but no significant spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.