Pain in pelvic region, Right leg pain. For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is grade 1 spondylolisthesis of L4 on L5 with moderate to severe spinal stenosis.In addition, there is about 8mm sized synovial cyst arising from the right L45 facet joint which narrows right lateral recess of the L45 level.There is normal lumbar lordosis. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the L1-L2 level. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: Disc desiccation, no neuroforaminal narrowing or spinal stenosis. L4-L5: Disc desiccation, grade 1 spondylolisthesis of L4 on L5 with bilateral ligamentum flavum thickening with moderate to severe spinal canal stenosis. In addition, there is about 8 millimeter sized synovial cyst arising from the right L4-5 facet joint which narrows right lateral recess of this level. No neuroforaminal narrowing or spinal stenosis. L5-S1: Disc desiccation. No neuroforaminal narrowing or spinal stenosis.
1. Spondylolisthesis of L4 on L5 with moderate to severe spinal canal stenosis.2. Right L45 facet joint synovial cyst causes right lateral recess stenosis.3. Multi-level Disc degenerations as discussed above. 