Diagnosis: Thoracic or lumbosacral neuritis or radiculitis, unspecifiedClinical question: lumbar radiculopathy, please compare to uploaded outside studySigns and Symptoms: lumbar radiculopathy bilaterally 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 or neural foramina. There is a disc bulge present at this level which is unchanged since the previous exam. There is only partial effacement of the fat at the lateral recess bilaterally at this level. There is a right far lateral disc protrusion present at this level which was also present on the prior exam and is unchanged.At L4-5 there is loss of disc space height, disc desiccation and a diffuse disc bulge eccentric towards the left associated with mild ligamentum flavum hypertrophy. There is effacement of the fat surrounding the nerve roots at the left lateral recess and to a slightly lesser degree right lateral recess. These findings are stable compared to the prior exam.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a moderate degree of facet hypertrophy present at this level associated with subtle 1 to 2 mm anterior subluxation of L3 and L4. These findings are stable compared to the prior exam.At L2-3 there is a moderate degree of facet hypertrophy present associated with subtle 1 to 2 mm anterior subluxation of L3 and L4. There is a diffuse disc bulge present at this level as well as ligamentum flavum hypertrophy. There is triangulation of the thecal sac. There is a 2 mm left-sided ligamentum flavum cyst present which is stable since the prior exam These findings are stable compared to the prior exam.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are multilevel degenerative changes present in the lumbar spine worse at L4-5 where there is a mild degree of spinal stenosis. These findings are stable compared to the prior exam.2.There is very mild anterior subluxation of L3 on L4 and L4 on L5 present related to degenerative changes. These findings are stable compared to the prior exam.