56 years Male (DOB:2/21/1960)Reason: new back pain with radiation down right leg, history surgery, please evaluate for changes History: new back and leg pain with radiation right legPROVIDER/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 and a disc bulge at this level without significant compromise spinal canal and neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. Since prior exam a right sided broad-based lateral disc protrusion has regressed. There is some loss of disc space height and disc desiccation at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is some disc desiccation and a disc bulge at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is mild disc desiccation at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is mild disc desiccation at this level.
There are some degenerative changes present in the lower lumbar spine without significant compromise to lumbar spinal canal or neural foramina.