63 years Female (DOB:11/9/1952)Reason: Deduce etiology of chronic lumbar region back pain History: Chronic pain with ambulationPROVIDER/ATTENDING NAME: DIANE L. ALTKORN DIANE L. ALTKORN Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact. There is multilevel disc desiccation presentAt L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a moderate bilateral facet hypertrophy at this level. There is mild narrowing of the neural foramina and 2 mm anterior subluxation of L5 on S1. There is disc desiccation at this level.At L4-5 there is a moderate bilateral facet hypertrophy at this level. There is mild narrowing of the neural foramina and 2 mm anterior subluxation of L5 on S1. There is partial effacement of the fat surrounding the right-sided exiting nerve roots at this level. There is some partial effacement of the fat at the left lateral recess at this level with some mild encroachment of the nerve roots at the left lateral recess.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a minor disc bulge and mild ligamentum flavum hypertrophy at this levelAt 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 10 mm cyst along the right kidney.
There are degenerative changes present in the lumbar spine mainly in the form of facet hypertrophy and to a lesser degree disc bulges worse at L4-5 and L5-S1. There is some mild encroachment of the nerve roots of the left lateral recess and right neural foramen at L4-5 related to the degenerative changes associated with some mild narrowing of the spinal canal.