There are degenerative changes of the lumbar spine which are greatest at the level of L-2 & L-3. At this level, there is severe degenerative change along the end plates of the vertebral bodies with a marked decrease in the intervertebral disk space. There is a moderate disk bulge creating moderated to severe central spine canal stenosis, moderate left neural foraminal narrowing, and mild right neural foraminal narrowing. There is spinal canal stenosis at the levels of L3 - L4 and L4-L5 as detailed above.