Radiculopathy, lumbar region [M54.16], Reason for Study: ^Reason: assess for cause of LLE radiculopathy History: L L1 vs L2 radiculopathy 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: minimal disc dessication, no neuroforaminal narrowing or spinal stenosis. L1-L2: minimal disc dessication, no neuroforaminal narrowing or spinal stenosis. L2-L3: minimal disc dessication, there is left side far lateral disc herniation. no neuroforaminal narrowing or spinal stenosis. L3-L4: minimal disc dessication, diffuse bulging of disc which abuts thecal sac, minimal bilateral neuroforaminal narrowing. L4-L5: minimal disc dessication, diffuse bulging of disc which abuts thecal sac with bilateral ligamentum flavum thickening results minimal to mild spinal canal stenosis. Bilateral mild neuroforaminal narrowing (left worse than right). L5-S1: no neuroforaminal narrowing or spinal stenosis. Prominent sclerotic changes of bilateral pars of L5 vertebral body but without definitive fracture or spondylolisthesis of L5 on S1.
1. Far lateral disc protrusion, left side of L23.2. Mild spinal stenosis and mild bilateral neuroforaminal stenosis at the level of L45. 3. Diffuse bulging of disc at the level of L34