Pain in left foot [M79.672], Reason for Study: ^Reason: nerve root compression History: left foot pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled 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 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: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. L2-L3: diffuse bulging of disc with minimal spinal canal narrowing, no neuroforaminal narrowing. L3-L4: diffuse bulging of disc which results minimal spinal canal narrowing associated with minimal bilateral ligamentum flavum thickening. There is also focal associated bulging of disc toward left side neural foramen which abuts nerve roots (series 6, image 13/25). Bilateral facet joints show joint effusion indicating arthritic changes.L4-L5: diffuse bulging of disc with eccentric bulge toward left side neural foramen results minimal to mild left neuroforaminal narrowing. Right facet joint shows subchondral sclerosis with hypertrophy and the left facet joint shows joint effusion indicating arthritic changes. L5-S1: There is focal disc protrusion central to right side which abuts thecal sac and narrows right side lateral recess. No spinal stenosis.
1. Multifocal various degree degenerative changes of lumbar spine.2. Minimal to mild neuroforaminal narrowing at the level of L34 and L45 left side.3. Focal disc protrusion central to right with right lateral recess narrowing at the level of L5S1.