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Question

Disc dehydration & diffuse disc bulging associated with posterior annular tear is seen at level of L4-L5 causes indentation over anterior surface of thecal sac without neural foraminal stenosis .

There is suggestion for minimal anterior listhesis L5 over S1 .Diffuse disc bulging at this level causes minimal bilateral neural foraminal stenosis without nerve root compression .

Spinal  canal  diameter  is  normal  without  stenosis . 

Vertebral  bodies  show  normal  height  without  compression .

There  is  no  evidence  of  bony  lesion .

Conus  medullaris  ,  posterior  elements  and  paravertebral  soft  tissues  are  unremarkable .