Loss of the normal lordotic curvature may be positional or due to muscle spasm. Minimal degenerative disc disease. Facet hypertrophy and arthropathy, L4-S1.
The vertebral bodies are normal in height. Loss of the normal lordotic curvature may be positional or due to muscle spasm. There is minimal disc narrowing at L5-S1. There are moderate facet hypertrophy and arthritic change at L4-5 and L5-S1. There is no subluxation. There is sacral spina bifida occulta, a developmental variant. There is also a developmental variant of L1 transverse processes. There are faint vascular calcifications. There is a questionable benign-appearing sclerotic lesion involving the left ilium.