Michael Butler

12-21-2019  7:43 TEXAS_MRI  (FAX)46637839438  P.000/003  
Oak Grove Hospital  
patient:  Michael Butler  exm date:  08-20-2018 12:15 PM  
BIRTH DATE:  03-08-1996 Age 30  Physician:  Dr Katelyn Steele 
date of evaluation:12-17-2022
MRN:  TXCS28049  Exam:  LUMBAR SPINE wo  
MRI LUMBAR SPINE WITHOUT CONTRAST  
INDICATION: MVA. Low back pain.  
COMPARISON: None.  
TECHNIQUE: Multiplanar multisequence images were obtained through the lumbar spine without  administration of Intravenous contrast.  
FINDINGS:  
SPINAL CORD:  The conus medullaris and nerve roots are normal with conus terminating at the T12-L1 level.   
IMPRESSION:  
1. L4-L5 posterior left subarticular/foraminal 3.8 mm disc protrusion-subligamentous disc  /  herniation Impinges on the descending left L5 nerve root in the lateral recess. 
Associated severe left  neural foraminal stenosis.  
2. Severe foraminal stenosis with left L4 nerve root impingement In the foraminal space.  
page of 2  73797-11  BCS Medical - 00057
