64 years Male (DOB:4/16/1952)Reason: patient with sharp pain in buttocks. Concern for neuropathic pain. Concerned for L3-L4-L5 disc disease History: patient with sharp pain in buttocks. Concern for neuropathic pain. Concerned for L3-L4-L5 disc diseasePROVIDER/ATTENDING NAME: JAMES J. CURRAN JAMES J. CURRAN 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. A T1 hyperintense lesion is present at T12 measuring approximately 15 mm in diameter most likely represents a vertebral body hemangioma.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a broad-based central disc protrusion at this level associated with some facet hypertrophy of a moderate degree.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is moderate bilateral facet hypertrophy present at this level. There is some loss of disc space height, disc desiccation and a disc bulge at this level. There is mild encroachment of the nerve roots of the right lateral recess at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is moderate facet hypertrophy at this level. There is a diffuse disc bulge present at this level associated with loss of disc space height and disc desiccation. There is some mild crowding of nerve roots within the thecal sac at this level. Overall there is a mild degree of spinal stenosis present at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There are some mild ligamentum flavum thickening at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are multilevel degenerative changes present in the lower lumbar spine with a mild degree of spinal stenosis at L3-4 and some mild encroachment of the right-sided nerve roots at the right lateral recess due to degenerative changes.