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L4/5 disc desiccation with large central disc extrusion causing severe spinal canal stenosis, effacing the CSF surrounding the intrathecal nerve roots of the cauda equina. There is no neural foraminal stenosis.
There is also L5/S1 disc desiccation with posterior annular fissure and mild broad-based disc bulge, not causing spinal canal or neural foraminal stenosis.