56 years Male (DOB:9/12/1959)Reason: right leg pain. History: right leg painPROVIDER/ATTENDING NAME: JAVAD HEKMATPANAH JAVAD HEKMATPANAH 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 mild disc bulge present at this level. There is mild encroachment of the nerve roots at the lateral recess at this level.At L4-5 there is no significant compromise to the neural foramina. There is some disc desiccation and diffuse disc bulge at this level. There is some mild facet hypertrophy at this level. There is some effacement of fat at the lateral recess bilaterally at this level with encroachment of the nerve roots at the lateral recesses bilaterally.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.
There are degenerative changes present lumbar spine associated with moderate encroachment of the nerve roots at the lateral recess at L4-5 bilaterally.