72 years Female (DOB:12/20/1943)Reason: History of chronic pain due to osteoarthritis now with acute worsening of lumbar pain with left radiculopathy. History: As aboveReferring Attending: MICHAEL T HUBER 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. No abnormal enhancing lesions are appreciated in the lumbar spine.Along the left perivertebral space of approximately L3-S1. There is a 7 mm fluid collection behind the left L45 facet joint.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy at this level.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.There is a 19 mm cystic lesion along the left kidney. This most likely represents a simple cyst.
1.There is a ring-enhancing lesion behind the left L4-5 facet joints associated with inflammatory change. Possibility this represents an abscess cannot be excluded. Please correlate with patient's clinical history and symptoms. Findings were reported to Kara Davey at the time of the exam.2.No compromise to lumbar spinal canal or neural foramina. There are mild degenerative changes present in the lumbar spine.