66 years Male (DOB:9/20/1950)Reason: evalaute for spinal stenosis History: neuorclaudication symptomsPROVIDER/ATTENDING NAME: MONICA B. VELA MONICA B. VELA 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. There is a dextrocurvature to the lumbar spine present.At L5-S1 there is moderate right-sided facet hypertrophy present at this level and mild left-sided facet hypertrophy. There is loss of disc space height this desiccation and a diffuse disc bulge at this level. There is a very mild encroachment of the nerve roots of the right lateral recess at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and bilateral facet and ligamentum flavum hypertrophy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion associated with the left-sided endplate osteophytes which displaces the left-sided exiting nerve root after it exits the neural foramen. There are associated endplate reactive changes.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are multilevel degenerative changes present in the lumbar spine with some mild encroachment of the nerve roots at the right lateral recess at L5-S1. Mild degree of spinal stenosis present at L4-5. There are some displacement of the left-sided exiting nerve root at L2-3 related to a left far lateral disc protrusion. There is a sigmoid curvature to the lumbar spine.