The patient's MRI dated 10/18/04 showed multi-level degenerative changes, with facet involvement at L2-L3, L3-L4 and L5-S1. 
The patient 's MRI dated 10/18/04 showed multi - level degenerative changes , with facet involvement at L2 - L3 , L3 - L4 and L5 - S1 .