Reason: assess for stenosis or disk herniation History: low back pain with radiculopathy 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 multilevel disk desiccation presentAt L5-S1 there is no significant compromise to spinal canal. There is marked bilateral facet are present at this level associated with narrowing of the neural foramina and mild encroachment of the exiting nerve roots within the neural foramina.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is marked bilateral facet hypertrophy present.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.Examination is mildly compromised due to patient motion which may obscure more subtle abnormalities.
1.Degenerative changes are present in the lumbar spine worse at L4-5 and L5-S1 where there is marked bilateral facet hypertrophy and some mild encroachment of exiting nerve roots at L5-S12.Examination is mildly compromised due to patient motion which may obscure more subtle abnormalities.