Recent MRI states: L1-L2: Minimal symmetric disc bulge, which along with facet arthropathy, prominence of ligamentum flavum, prominence of the dorsal epidural fat contributes to mild thecal sac stenosis, increased from prior. Adequate neural foraminaL2-L3: Disc bulge is asymmetric to the right, which along with facet arthropathy, prominence of ligamentum flavum, and prominence of the dorsal epidural fat contributes to mild thecal sac stenosis, increased from prior. Adequate neural foraminaL3-L4: Symmetric disc bulge, which along with facet arthropathy, prominence of ligamentum flavum, and prominence of the dorsal epidural fat contributes to severe thecal sac stenosis, slightly increased from prior. Associated crowding of the cauda equina nerve roots (series 5 image 22). Adequate neural foraminaL4-L5: Anterolisthesis L4 on L5 with uncovering of disc material. Superimposed symmetric disc bulge, which along with facet arthropathy, prominence of ligamentum flavum, prominence of the dorsal epidural fat contributes to severe thecal sac stenosis, increased from prior. Subarticular recesses are completely effaced and there is crowding of the cauda equina nerve roots. Moderate left and mild right neural foraminal narrowingL5-S1: Adequate thecal sac. Bilateral facet arthropathy with adequate neural foramina. Tiny (0.2 cm) right-sided facet synovial cyst directed toward the spinal canal and neural foramen, but does not contribute to any significant spinal canal or neural foraminal stenosisIMPRESSION:1. Interval increase in multilevel degenerative changes of the lumbar spine with superimposed epidural lipomatosis, now with severe thecal sac stenosis at L3-L4 and L4-L5, mild thecal sac stenosis at L1-L2 and L2-L3, and multilevel mild or moderate neural foraminal narrowing, as detailed. Wondering if anyone had TOPS instead of fusion, and how has the back been since the surgery?