Reason: lumbar spinal stenosis and neuroforaminal stenosis History: b/l low back pain and groin numbness 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 multilevel disk desiccation presentAt L5-S1 there is no significant compromise to neural foramina. There is bilateral facet hypertrophy present at this level. There is partial effacement of the fat at the lateral recess and left worse than right at this level This has not changed since prior exam.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge at this level associated with disk dessication.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge at this level associated with disk dessication.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a minor disk bulge at this level associated with disk dessication.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is a mild left lateral disk protrusion at this level.
1.There is mild encroachment of the nerve roots of the left lateral recess at L5-S1 related to a combination of disk disease and facet hypertrophy.