73 years Male (DOB:6/4/1943)Reason: eval for stenosis, hx of RLE radiculopathy History: abovePROVIDER/ATTENDING NAME: HUE H LUU HUE H LUU 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. There is a levocurvature to the lumbar spine presentAt L5-S1 there is no significant compromise to spinal canal or neural foramina.. There is mild anterior subluxation of L4 and L5 associated with some uncovering of the disc. There is narrowing of the left neural foramen with mild to moderate encroachment of the left-sided exiting nerve root present. There is bilateral facet hypertrophy which is worse on the left side relative to the right side. There is marked loss of disc space height and disc desiccation at this level. There are Schmorl's nodes at this level.At L4-5 there is no significant compromise to spinal canal. There is loss of disc space height, disc desiccation and a right lateral disc extrusion with disc material tracking behind the posterior aspect of the L4 vertebral body. There is mild to moderate encroachment of the right-sided exiting nerve root within the neural foramen at this level. There is bilateral facet hypertrophy at this levelAt L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy at this level. There is a mild disc bulge at this level associated with endplate reactive change which is bright on T2 imaging. There is a right far lateral disc protrusion at this level which mildly displaces the right-sided exiting nerve root after it exits the neural foramen.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.There are multilevel degenerative changes present in the lumbar spine with moderate encroachment of the right-sided exiting nerve roots at L4-5 and L5-S1.2.There are right-sided endplate reactive changes in the acute or subacute phase at the L3-4 level.3.There is a levocurvature to the lumbar spine associated with mild subluxations.