46 years Female (DOB:9/13/1969)Reason: assess for right lumbar radiculopathy History: radicular pain on the right LE and severe neuropathic pain in the right footPROVIDER/ATTENDING NAME: KOUROSH REZANIA KOUROSH REZANIA 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 right-sided facet hypertrophy present associated with some encroachment of the nerve roots of the right lateral recess.At L4-5 there is loss of disc space height this desiccation and endplate reactive changes associated with diffuse disc bulge. There is effacement of the fat at the right lateral recess and partial effacement of the fat at the left lateral recess at this level. There is narrowing of the neural foramina bilaterally but worse on the right versus the left side where there is some mild encroachment of the right-sided exiting nerve roots within the neural foramen. The endplate reactive changes are high signal on T1-weighted imaging and somewhat lower signal on T2 STIR imaging.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.
1.There are degenerative changes present in the lumbar spine which are worse at L4-5 where there is a diffuse disc bulge and encroachment of the nerve roots at the right lateral recess (most likely right L5 nerve roots). There are associated chronic endplate reactive changes present at this level.2.There is encroachment of the nerve roots at the right lateral recess at L5-S1 (most likely right S1 nerve roots) predominantly related to some facet hypertrophy.3.Exam is somewhat limited due to the patient's inability to also obtain the T1 axial images.