Lumbar MRI with contrast, demonstrating multilevel degenerative changes. There is facet arthropathy and ligamentum flavum hypertrophy. L4-5: there is a diffuse bulge slightly larger on the right. There is severe central canal stenosis. There is moderate right and mild-to-moderate left neural foraminal stenosis. L5-S1: there is a mild diffuse bulge slightly larger on the left with a tiny left foraminal annular tear. There is severe left and moderate right neural foraminal stenosis. L1-2: there is diffuse bulge and a superimposed central protrusion. There is mild-to-moderate central spinal canal stenosis.