48 years Male (DOB:9/18/1968)Reason: radiculopathy History: pain in back/left legPROVIDER/ATTENDING NAME: WEI WEI LEE WEI WEI LEE Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.The patient is status post posterior fusion with pedicle screws at L5 and S1 associated with interconnecting rods. Patient is status post anterior fusion with disc spacer at L5-S1. The patient is status post laminectomy at L5. There is mild anterior subluxation of L5 on S1.At L5-S1 there is mild anterior subluxation of L5 on S1. There is increase in the AP dimension of the spinal canal at this level. There is narrowing of the neural foramina bilaterally with encroachment of exiting nerve roots related to a diffuse disc bulge. There is someAt L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present 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.Status post lumbar spine surgery at L5-S1. There is encroachment of the exiting nerve roots within the neural foramina at this level due to disc bulge.