Low back pain for weeks with right sciatica getting worse. There is moderate leftward scoliosis of the lumbar spine. The vertebral body heights are preserved. There is disc desiccation and loss of disc height at L4-5. The vertebral bone marrow signal is unremarkable for age. There is no significant spinal canal stenosis. The spinal cord displays normal signal and terminates at L1. The paravertebral soft tissues are unremarkable. Interspace observations:T12-L1: There is no significant compromise to spinal canal or neural foramina.L1-L2: There is no significant compromise to spinal canal or neural foramina.L2-L3: There is no significant compromise to spinal canal or neural foramina.L3-L4: There is no significant compromise to spinal canal or neural foramina.L4-5: There is a right foraminal/lateral protrusion with severe right neural foraminal narrowing, but no significant compromise to spinal canal or left neural foramen.L5-S1: There is a small central protrusion without significant compromise to spinal canal or neural foramina.
1.Right foraminal/lateral protrusion at L4-5 with severe right neural foraminal narrowing, but no significant central stenosis.2.Moderate convex left scoliosis of the lumbar spine.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.