Right lower extremity pain, evaluate for right L5-S1 synovial cyst. Radiculopathy. There are small disc bulges and facet hypertrophy at L4-5 and L5-S1 with up to mild to moderate right L4-5 neural foraminal narrowing, but no significant spinal canal stenosis. The vertebral column alignment is within normal limits. There is mild loss of anterior vertebral body height of T12, with a superior end plate disc herniation, which is unchanged since October 2014. The disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is no significant spinal canal stenosis. The spinal cord displays normal signal and morphology. The paravertebral soft tissues are unremarkable. There is a subcentimeter sacral perineural cyst. There are bilateral probable inferior renal cysts.
Degenerative spondylosis at L4-5 and L5-S1 with up to mild to moderate right L4-5 neural foraminal narrowing, but no significant spinal canal stenosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.