Diagnosis: Thoracic or lumbosacral neuritis or radiculitis, unspecifiedClinical question: low back pain and bilateral leg pain Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramina.At C3-4 there is no significant compromise to the spinal canal or neural foramina.At C4-5 there is no significant compromise to the spinal canal or neural foramina.At C5-6 there is no significant compromise to the spinal canal. There is a broad based posterior right paramedian disk extrusion present with extruded disk material which extend behind the adjacent endplates. It mildly encroaches on the right exiting nerve roots.At C6-7 there is no significant compromise to the spinal canal or neural foramina.At C7-T1 there is no significant compromise to the spinal canal or neural foramina.The vertebral artery flow voids appear to be intact.Lumbar spine: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.At L4-5 the patient is status post right hemilaminectomy. There is loss of disk space height and disk dessication at this level associated with a broad based right paramedian dis protrusion which extends across the midline and encroaches the nerve roots at the lateral recesses bilaterally - right more than left.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.
1.Status post L4-5 right hemilaminectomy where there is a right paramedian disk protrusion affecting the nerve roots at the right lateral recess and to a lesser the gree the left lateral recess.2.There is a right paramedian disk extrusion at C5-6 without significant compromise to the spinal canal. It mildly encroaches on the right exiting nerve roots.