82 years Female (DOB:8/16/1934)Reason: back pain History: back painPROVIDER/ATTENDING NAME: TARIQ MUSLIM MALIK TARIQ MUSLIM MALIK Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet hypertrophy present at this level of a moderate degree.At L4-5 there is loss of disc space height, disc desiccation and a diffuse disc bulge associated with moderate bilateral facet and ligamentum flavum hypertrophy as well as anterior subluxation of L4 and L5. Some disc material extends behind the inferior aspect of the L4 vertebral body There is effacement of the fat at the lateral recess bilaterally at this level and crowding of the nerve roots within the thecal sac. Overall there is moderate spinal stenosis at this level. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat. When compared to the exam from 2012 there appears to be some progression of the spinal stenosisAt 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. There is disc desiccation present at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is redemonstration of multiple large cysts along the kidneys which are incompletely imaged on this or the prior exam. As a result subtle relative change in size may not be readily made.
1.There are degenerative changes present in the lumbar spine which are worse at L4-5 where there is mild subluxation and a moderate degree of spinal stenosis which appears to have mildly progressed when compared to the 9/11/2012 exam.2.Multiple large renal cysts.