62 years Female (DOB:2/13/1954)Reason: R/o DDD or SI joint disease History: Back pain, sciaticaPROVIDER/ATTENDING NAME: TARIQ MUSLIM MALIK TARIQ MUSLIM MALIK Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. There is a dextrocurvature to the upper lumbar spine and compensatory levocurvature to the lower lumbar spine. There is a T1 hyperintense lesion present within the L3 vertebral body most likely representing a vertebral body hemangiomaAt L5-S1 there is loss of disc space height, disc desiccation and some facet hypertrophy bilaterally. There is a disc bulge present this level. There are some mild encroachment of the nerve roots at the right lateral recess at this level.At L4-5 there is bilateral facet hypertrophy which is worse on the right compared to left side. There is some mild encroachment of the nerve roots at the right lateral recess. At L3-4 there is no significant compromise to spinal canal or neural foramina.At L3-4 there is a disc bulge present associated with disc desiccation and some moderate facet hypertrophy as well as some moderate ligamentum flavum hypertrophy.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.Incidental note is made of multiple small gallstones within the gallbladder.
1.There are multilevel degenerative changes present in the lower lumbar spine with a mild degree of encroachment of the nerve roots at the right lateral recess at L4-5 and L5-S1 due to degenerative changes. There is a scoliotic curvature to the lumbar spine.2.Gallstones