Radiculopathy, cervical region [M54.12], Reason for Study: ^Reason: lumbar radiculopathy History: radiating pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the L1 level. The paraspinal soft tissues are unremarkable.There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: diffuse minimal disc bulging with disc dessication, no neuroforaminal narrowing or spinal stenosis. L5-S1: central focal bulging of disc, no neuroforaminal narrowing or spinal stenosis.
1. Diffuse bulging of disc at the level of L45 and focal central bulging of disc at the level of L5S1. 2. No evidence of neuroforaminal stenosis.3. No evidence of spinal canal stenosis.