75 years Male (DOB:5/1/1940)Reason: assess for herniated disk, spinal stenosis History: groin pain and weakness. EMG with S1 pathologyPROVIDER/ATTENDING NAME: WILLIAM R. HARPER WILLIAM R. HARPER 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 loss of disc space height and disc desiccation and a mild disc bulge at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is asymmetric loss of disc space height with more loss of disc space height on the right side compared to the left side of the disc space. There is partial effacement of the fat at the lateral recess bilaterally at this level which has mildly progressed compared to the previous exam. There are endplate reactive changes present at this level with some T2 signal hyperintensity suggestive of some acute or subacute endplate reactive change along the right half of the disc space.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild loss of disc space height, disc desiccation and diffuse disc bulge at this level which was also present on the prior exam.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation present at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.Since the prior exam an abdominal aortic aneurysm has decreased significantly in size.There is redemonstration of a renal cyst along the right kidney which currently measures 33 x 24 mm axial dimensions and previously measured 24 x 19 mm axial dimensions.
1.There are degenerative changes present in the lumbar spine which appear to be worse at L4-5 where there is some subacute endplate reactive changes and mild encroachment of the nerve roots at the lateral recess is. Overall the findings at L4-5 have slightly progressed.2.Since prior exam a cyst along the right kidney has mildly enlarged3.The prior exam the patient is undergone abdominal aortic aneurysm repair