67 years Male (DOB:11/15/1948)Reason: low back pain History: low back 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 disc desiccation at this level. There is a disc bulge at this level. There is mild facet hypertrophy at this level.At L4-5 there is bilateral facet and ligamentum flavum hypertrophy present as well as a diffuse disc bulge and effacement of the fat at the lateral recesses sees bilaterally. There is crowding of the nerve roots within the thecal sac. There is a cystic lesion present adjacent to the right facet joint which further narrows the spinal canal most likely representing synovial cyst or a ligamentum flavum cyst..At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present this level associated with some mild ligamentum flavum and facet hypertrophy.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.
Findings are compatible with spinal stenosis at L4-5 related to disc bulge, facet hypertrophy and a right sided cystic lesion from the right facet joint either representing a synovial cyst or ligamentum flavum cyst.