57 years Female (DOB:5/20/1959)Reason: 57 F with LLE numbness and claudication, minimal sensory loss on exam History: 57 F with LLE numbness and claudication, minimal sensory loss on examPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact. There is mild disc desiccation present lower lumbar spine.The lesion within the T12 vertebral body which is high signal on T1 and suppresses on the inversion recovery images most likely represents a vertebral body hemangioma.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level associated with superimposed central disc protrusion. There is a moderate degree of bilateral facet and ligamentum flavum hypertrophy at this level. There are some effacement of the fat at the lateral recess bilaterally at this level. There is mild crowding of the nerve roots within the thecal sac at this level and overall a moderate degree of spinal stenosis. At L4-5 there is no significant compromise to spinal canal or neural foramina. There is moderate bilateral facet hypertrophy at this level. There is a mild disc bulge at this level. There is partial effacement of the fat at the lateral recess bilaterally at this level. There is some encroachment of the left-sided exiting nerve roots within the neural foramen due to disc material. There is crowding of the nerve roots within the thecal sac and overall a moderate degree of spinal stenosis. There is a mild degree of anterior subluxation of L4 and L5.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.A 9 mm round well-circumscribed cystic appearing lesion in the left kidney probably represents a renal cyst
There are multilevel degenerative changes present in the lower lumbar spine with moderate spinal stenosis at L4-5 and at L5-S1 as well as encroachment of the left-sided exiting nerve roots within the neural foramen at L4-5