Lumbago with sciatica, left side [M54.42], Reason for Study: ^Reason: hx of scoliosis. assess for nerve impingement History: pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal thoraco-lumbar scoliosis. 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 intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.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: mild disc dessication, no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: minimal diffuse bulging of disc, no neuroforaminal narrowing or spinal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Thoracolumbar scoliosis.2. Minimal dessication of L23 disc and minimal diffuse bulging of L45 disc, otherwise unremarkable. 