53 years Male (DOB:11/12/1962)Reason: lumbar radiculopathy History: painPROVIDER/ATTENDING NAME: RODERICK H. BIRNIE RODERICK H. BIRNIE 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.At L4-5 there is a large left lateral recess disk extrusion which compresses the nerve roots at the left lateral recess and compresses the thecal sac, effacing CSF surrounding the nerve roots. Disk material extends behind the adjacent endplates. There is associated loss of disk space height and subacute end plate reactive changes (bright on T2 low signal on T1) which is superimpose on a larger area of chronic endplate reactive change (T1 hyperintense and T2 hypointense). The endplates are irregular. There is disk dessication. Overall there is moderate spinal stenosis.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 is a large L4-5 disk left lateral recess disc extrusion creating moderate spinal stenosis and compression of the nerve roots predominantly at the left lateral recess. It is associated with subacute on chronic endplate reactive change. 