Diagnosis: LumbagoDiagnosis Edits: Clinical question: low back painSigns and Symptoms: low back pain 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. There is a conjoined right-sided nerve root sleeve present at this level. There is a left far lateral disc protrusion at this level which displaces the left-sided exiting nerve root as it exits the neural foramen. Compared to the previous exam this has not changed substantially. There is a subtle pars defect on the right side at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and endplate reactive change present at this level. There is a broad-based right far lateral disc protrusion at this level which mildly displaces the right-sided exiting nerve root after it exits the neural foramen. Overall these findings have not changed since the prior examAt 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.
There are degenerative changes present in the lumbar spine which are stable when compared to the exam from last year. There are far lateral disc protrusions on the left side at L5-S1 and on the right side at L4-5 which mildly displaces the exiting nerve roots as the exit their respective neural foramina.