Diagnosis: Radiculopathy, lumbar regionClinical question: Eval for stenosisSigns and Symptoms: right leg radicular painComments: Any MRI | 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.At L5-S1 there is no significant compromise to spinal canal. There is loss of disk space height, disk dessication and diffuse disk bulge at this level associated with mild facet hypertrophy. There is partial effacement of the fat surrounding the exiting nerve roots at this level with mild to moderate encroachment of exiting nerve roots. There is partial effacement of fat at the lateral recess bilaterally at this level. Overall there is mild spinal canal stenosis at this level.At L4-5 there is loss of disk space height, disk dessication and diffuse disk bulge at this level associated with moderate facet hypertrophy. There is 2mm anterior subluxation of L4 on L5. There is mild to moderate spinal stenosis at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disk dessication and mild ligamentum flavum hypertrophy at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is disk dessication and mild ligamentum flavum hypertrophy at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are mild degenerative changes in the lumbar spine as detailed above with mild to moderate spinal stenosis at L4-5 and bilateral encroachment of exiting nerve roots at L5-S1.2.Exam is limited. The patient refused to complete the exam.