78 years Female (DOB:6/5/1937)Reason: evaluate for radiculopathy History: right sciatica, chronic and severePROVIDER/ATTENDING NAME: REEM H JAN DAVID L PITRAK Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. There is mild loss of vertebral body height at L2 and L1. There is some superior endplate compression at L2. These mild compressions were also present on the CT of the abdomen from 11/25/2014 and do not appear to have changed. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with bilateral facet and ligamentum flavum hypertrophy. There is partial effacement of the fat at the lateral recess bilaterally at this level. There is encroachment of the nerve roots at the lateral recesses. There is narrowing of the neural foramina as a result of disc material which is worse on the right side where there is encroachment of the right-sided exiting nerve roots within the neural foramina. There are endplate reactive changes at this level which are bright on T2 and dark on T1 suggestive of subacute change.At L4-5 there is loss of disc space height, disc desiccation and a diffuse disc bulge. There are endplate reactive changes which are bright on T1 and T2 at this level. This suggests chronic change. There is bilateral facet and ligamentum flavum hypertrophy at this level. There is effacement of the fat at the lateral recesses bilaterally at this level. Overall there is a moderate degree of spinal stenosis present. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L3-4 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with ligamentum flavum hypertrophy. Is no significant compromise to the spinal canal or neural foramina. There is mild narrowing of the spinal canalAt L2-3 there is no significant compromise to spinal canal or neural foramina. There are Schmorl's nodes at this level. There is some mild loss of disc space height, disc desiccation and diffuse disc bulge at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There are multiple cysts present in both kidneys. Some of them have low signal intensity on T1 and some are heterogeneous.
1.There are multilevel degenerative changes present in the lumbar spine with moderate spinal stenosis at L4-5 and encroachment of the right-sided exiting nerve roots at L5-S1. There are subacute endplate reactive changes present at L5-S1.2.There is mild loss of vertebral body height at L2 and L3 which has been present on prior exams3.Multiple renal cystic lesions are present. Some are suspected to contain blood products. Please refer to ultrasound from 3/29/2016 for further comments.