Reason: Evaluate lumbar pathology History: Low back pain radiating down right leg 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.At L5-S1 there is loss of disk space height, disk desiccation and diffuse disk bulge as well as bilateral facet hypertrophy and a mild anterior subluxation of L5 on S1. There are bilateral pars interarticularis defects present at this level and the narrowing of the neural foramina bilaterally. There is effacement of the fat surrounding the exiting nerve roots within the neural foramina bilaterally at this level. This appears to be worse on the right versus the left side.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge at this level and there is bilateral facet hypertrophy at the mild/moderate degree 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.There are degenerative changes present in lumbar spine with spondylolysis with spondylolisthesis at L5-S1 where there is encroachment of the exiting nerve roots within the neural foramina bilaterally right worse than left.