Pain in left hip [M25.552], Reason for Study: ^Reason: hx of hip injury now with radiculopathy History: hip pain , numbness in L foot and down buttock For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is a 19.3 mm (CC) x 8.2 mm (AP) x 10.9 mm (RL) sized disc extrusion at the level of L5-S1 and narrows left lateral recess compressing thecal sac and nerve roots. Extruded disc was extended superiorly.There are disc desiccation at the level of L4-5 and L5-S1.There is normal lumbar lordosis. The spine alignment is anatomic. 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 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: no neuroforaminal narrowing or spinal stenosis. L4-L5: Disc desiccation, no neuroforaminal narrowing or spinal stenosis. L5-S1: Disc extrusion superiorly and left lateral results left L5-S1 lateral recess narrowing with no cord compression.
Disc extrusion with superior migration which results L5S1 left side lateral recess stenosis with nerve root compression.