38 years Male (DOB:8/14/1977)Reason: Etiology of bilateral LE/thigh pain History: b/l thigh painPROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI 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 a T1 hyperintense focus associated with the fat suppression on the inversion recovery imaging measuring 23 mm superior-inferior dimension and 6 mm AP dimension 17 mm with which narrows the ventral aspect of the thecal sac. It appears to originate from the dura and is extra medullary.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a small central disc protrusion present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is loss of disc space height, disc desiccation and a broad-based central disc protrusion 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.
1.Findings are compatible with a lipoma behind the L3 and L4 vertebral bodies which mildly narrows the ventral aspect of the thecal sac. It is not associated with any significant stenosis, however. 2.There are mild degenerative changes present in the lower lumbar spine without significant compromise to spinal canal or exiting nerve roots.