Lumbar radiculopathy For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. Normal lumbar lordosis is decreased and lumbar spine alignment appear to be straightened.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 epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.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: There is broad-based diffuse bulging of disc towards left side neural foramen however, no definitive evidence of nerve compression is demonstrated.. L3-L4: Diffuse bulging of disc weight broad-based disc bulging toward bilateral neural foramen show minimal neural foraminal narrowing. Again there is no evidence of direct no overt compression at this level. Disc desiccation is also demonstrated.L4-L5: Diffuse bulging of disc weight possible central focal protrusion of the left thecal sac and anterior epidural fat. Disc desiccation is also demonstrated. L5-S1: There is broad-based focal disc protrusion central to slightly left abuts anterior epidural fat and thecal sac. Mild neural foraminal narrowing on the left side. Disc desiccation is demonstrated.
Multifocal various degree disc bulging as well as neural foraminal narrowing with disc desiccation as described above.