How bad is this impression ? IMPRESSION: 1. L2-L3 degenerative disc disease with annular bulging, a large right posterior/foraminal disc protrusion, right lateral recess effacement, severe canal stenosis, and severe right neuroforaminal narrowing. 2. Mild L3-L4 annular bulging with lateral recess narrowing and severe canal stenosis. 3. L4-L5 postsurgical changes. 4. L5-S1 annular bulging with a moderate-sized central disc extrusion extending inferiorly. This indents the ventral thecal sac. The left lateral recess is narrowed. Moderate to severe bilateral neuroforaminal narrowing is noted with mild foraminal nerve root encroachment.