66 years Female (DOB:1/21/1950)Reason: low back pain leg pain History: low back pain leg panPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG Five lumbar type vertebral bodies are presumed to be present. The conus medullaris on sagittal imaging is grossly intact. There is multilevel disc desiccation present. There is mild anterior subluxation of L4 and L5 and the superior endplate compression at L2 with approximately 25% loss of vertebral body height.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present this level associated with moderate facet hypertrophy. Relative to the prior exam this has not changed substantially.At L4-5 there is loss of disc space height, disc desiccation as well as a diffuse disc bulge associated with marked bilateral facet and ligamentum flavum hypertrophy. There is effacement of the fat at the lateral recess bilaterally at this level as well as some mild crowding of the nerve roots within the thecal sac. There is mild anterior subluxation of L4 and L5. These findings were present on the prior exam but have not changed significantly. The patient status post left hemilaminectomy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a diffuse disc bulge as well as some mild facet and ligamentum flavum hypertrophy at this level.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 small cyst present in the right kidney measuring 6 mm in diameter and another along the left kidney measuring 5 mm in diameter. These are stable and compared to the prior exam.
1.There are degenerative changes present lumbar spine worse at L4-5 where there is moderate spinal stenosis and mild subluxation and status post hemilaminectomy. This is stable compared to prior exam.2.There is a benign-appearing chronic compression fracture at L2 which is also stable compared to the prior exam..