Female 30 years old Reason: Evaluate for disc herniation History: Right lower extremity pain, previous thoracolumbar fusion for adolescent scoliosis There is moderate levoscoliosis of the lumbar spine with a rotational component. Thoracic dextroscoliosis is better seen in prior radiograph. Five lumbar type vertebral bodies are presumed to be present. The right side of the L2-3 disc space is diminished, otherwise the vertebral body and disk heights are well-maintained. There is evidence of prior osseous fusion involving the lower thoracic spine extending to the L4 level, which can be better assessed on CT. No focal marrow signal abnormality is appreciated. The conus medullaris is normal in appearance and terminates at the L1-2 level. The cauda equina nerve roots are displaced rightward likely related to the spinal curvature.T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-5: Mild disc bulge. There is mild right neural foraminal narrowing. There is no significant compromise to spinal canal.L5-S1: There is no significant compromise to spinal canal or neural foramina.
Levoscoliosis of the lumbar spine. Mild right neural foraminal narrowing at L4-5. Spinal canal and neural foramina are otherwise patent.