46 years Female (DOB:10/16/1969)Reason: Having back pain with radiculopathy down to big toe, assessment for disc disease History: back pain with radiculopathyPROVIDER/ATTENDING NAME: TARIQ M MALIK SERVICES ANCILLARY 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy present at this level. There is a disc bulge present associated with disc desiccation. There is T2 hyperintensity along the posterior aspect of the annulus of the disc. Since the prior exam there is greater desiccation of the disc.At L4-5 there is loss of disc space height, disc desiccation and a broad-based left lateral recess disc extrusion associated with effacement of the fat at the left lateral recess. Some disc material extends behind the superior endplate of L5 at the left lateral recess and compresses the nerve roots at the left lateral recess. Disc extends across the midline to the right lateral recess and mildly encroaches on the nerve roots of the right lateral recess. These findings were present on the prior exam however there is a little more desiccation of the extruded fragment on the current exam versus 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.Since the prior exam the main differences somewhat more disc desiccation the current versus the prior exam as detailed above. There is redemonstration of a left lateral recess broad-based disc extrusion at L4-5 which encroaches on the nerve roots at the left lateral recess.