Diagnosis: Radiculopathy, lumbar regionClinical question: evaluate for degenerative change, lumbar stenosisSigns and Symptoms: Right LE Radiculopathy 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. There is redemonstration of mild to moderate bilateral facet hypertrophy at this level, mild loss of disc space height and mild disc desiccation. There is redemonstration of a small synovial cyst posterior to the right side facet joint at this level which was also present on the prior exam.At L4-5 there is no significant compromise to the neural foramina. There is redemonstration of bilateral facet and ligamentum flavum hypertrophy at this level associated with some narrowing of the spinal canal. There is partial effacement of the fat at the lateral recess bilaterally at this level. Overall there is a mild degree of spinal stenosis present. Overall the findings are stable compared to the prior exam.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is mild facet and ligamentum flavum hypertrophy present at this level.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 are endplate reactive changes present at this level associated with some loss of disc space height. There is a diffuse disc bulge present at this level. Compared to the prior exam the endplate reactive changes have not changed substantially. The appear to be in the subacute stage with high signal on T2 imaging and low signal on T1 imaging.
1.There is redemonstration of multilevel degenerative changes in the lumbar spine with subacute endplate reactive changes at L1-2 and mild stenosis at L4-5 which are stable and compared to the prior exam from January 2014.