45 years Female (DOB:10/6/1970)Reason: Bilateral buttock pain with radiation down the posterior legs bilaterally to the feet. Evaluate for neural foraminal stenosis vs HNP vs spinal stenosis. History: As abovePROVIDER/ATTENDING NAME: SUSAN B GLICK SUSAN B GLICK 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 mild disc desiccation present at L4-5 and L5-S1.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy present at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina.At L2-3 there is no significant compromise to spinal canal or neural foramina.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a 20 x 22 mm axial dimension cystic lesion in the right pelvis which could represent an ovarian cyst.
1.No compromise to lumbar spinal canal or neural foramina. There are mild degenerative changes present in the lumbar spine.2.A cystic appearing lesion along the right adnexa is present. The possibility this represents an ovarian cyst is raised. If clinically appropriate additional imaging of the right ovary may be of further benefit in evaluating this. Please correlate the patient's ultrasound from 6/24/2014.