Diagnosis: Radiculopathy, lumbar regionClinical question: lumbar radiculopathySigns and Symptoms: back pain radiating to leg Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.There are large cystic type lesions present along the expected location of the right ovaries one measuring approximately 23 mm and the other one measuring approximately 43 x 31 mm in sagittal dimensions. They are adjacent to each other small amount of fluid is present in the uterus.At L5-S1 there is loss of disc space height, disc desiccation and diffuse disc bulge which has progressed since the prior exam. There is now greater encroachment of the nerve roots at the lateral recess bilaterally on the current exam versus the prior exam. There is more encroachment of the nerve roots at the right lateral recess versus the left lateral recess at this level. There is mild facet and ligamentum flavum hypertrophy at this level.At L4-5 there is redemonstration of loss of disc space height and disc desiccation and a diffuse disc bulge associated with encroachment of the nerve roots at the left lateral recess. The encroachment of the nerve roots at the left lateral recess at this level appears slightly less prominent than on the prior exam. There is mild ligamentum flavum hypertrophy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are large ovarian cysts present on the right side. Please correlate with the patient's ultrasound results from 10/9/2015 for further comments. These cysts are incompletely visualized on the current exam2.Since the prior exam degenerative disc disease at L5-S1 has progressed. There is now greater encroachment of the nerve roots of the right lateral recess and to a lesser degree left lateral recess.3.Since the prior exam there is been some mild regression of disc disease at L4-5 with some encroachment of the nerve roots at the left lateral recess which is slightly less on the current versus the prior exam.