50 years Male (DOB:8/19/1966)Reason: lumbar DDD History: back painPROVIDER/ATTENDING NAME: TARIQ MUSLIM MALIK SERVICES ANCILLARY 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 accumulation of epidural fat within the lower lumbar spine especially below the L3 level associated with crowding of nerve roots in the sacral spinal canal and to a lesser degree elsewhere.At L5-S1 there is disc desiccation and diffuse disc bulge associated with marked bilateral facet hypertrophy and encroachment of the nerve roots of the left neural foramen.At L4-5 there is no significant compromise to spinal canal or neural foramina.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.Epidural lipomatosis is associated with stenosis in the lower lumbar spine especially the sacral spinal canal.2.There are degenerative changes present in the lumbar spine worse at L5-S1 there is marked facet hypertrophy in the chronic treatment of exiting nerve roots within the left neural foramen.