Sciatica, right side [M54.31], Reason for Study: ^Reason: Progressive right sciatica History: as above. 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 L1 level. 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: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. L3-L4: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. L4-L5: there is broad based disc bulging toward right neural foramen (series 701, image 7/30) which results minimal to mild right side neuroforaminal narrowing. There is also focal central bulging of disc which abuts thecal sac, otherwise no neuroforaminal narrowing. L5-S1: focal central protrusion of disc which abuts thecal sac, no neuroforaminal narrowing or spinal stenosis.
1. Broad based disc bulging toward right side neural foramen of L45 .2. Multilevel various degree disc bulging of lumbar spine.3. Central disc protrusion at the level of L5S1 which abuts thecal sac. 