53 years Male (DOB:8/21/1962)Reason: lower back pain with radiation into R leg; B/L hip pain with radiation into anterior thigh; ? of radiculopathy History: see abovePROVIDER/ATTENDING NAME: TAO XIE TAO XIE 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 are 5 nonrib-bearing vertebrae present. The lowest nonrib-bearing vertebrae is a transitional vertebra which is labeled L5 for the purpose of this exam. The left renal vein is identified at the T12-L1 level.At L5-S1 there is no significant compromise to spinal canal or neural foramina.At L4-5 there is bilateral facet hypertrophy present associated with disc desiccation and mild loss of disc space height. The facet hypertrophy is worse on the right when compared to the left side There is no significant compromise to spinal canal or neural foramina.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge and mild facet and ligamentum flavum hypertrophy at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level. There is some disc desiccation and mild loss of disc space height at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.Please note that there is a transitional vertebra present. For the purpose of this exam it is labeled as L5.2.There are degenerative changes present in the lumbar spine which are worse at L4-5. The degeneration at this level is mainly in the form of facet disease which is worse on the right side versus the left. There is no compromise to lumbar spinal canal or exiting nerve roots.