53 years Female (DOB:10/2/1962)Reason: hx Lumbar schwannoma. eval for change in size History: back pain., left leg painPROVIDER/ATTENDING NAME: EDWIN RAMOS EDWIN RAMOS 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a left lateral disc protrusion at this level which narrows the left neural foramen and displaces the left-sided exiting nerve roots after they exit the neural foramen.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion at this level which abuts the left-sided exiting nerve root as it exits the neural foramen. There are some mild enhancement present within this disc protrusion at the left far lateral zone and adjacent the left neural foramenAt L2-3 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion at this level which encroaches on the left-sided exiting nerve root after it exits the neural foramen. There is effacement of fat planes adjacent to this left far lateral disc protrusion expected location of the nerve roots. There is associated enhancement along the left-sided exiting nerve root after it exits the neural foramen.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is a broad-based left lateral recess disc protrusion present at this level without compromise to spinal canal or exiting nerve roots.
1.There is a left far lateral disc protrusion present at L2-3 which displaces the left-sided exiting nerve root as it exits the neural foramen. This is associated with some infiltration adjacent to it. This infiltration could represent inflammation or an alternative type of infiltrating lesion. Please correlate with clinical symptoms.2.There are infiltrative changes are also associated with left lateral disc protrusion at L3-4 and the left far lateral zone which are less prominent than at L2-3. Involve the adjacent exiting nerve root as it exits the neural foramen. This could also represent inflammation or an alternative type of infiltrating lesion.