62 years Female (DOB:3/9/1953)Reason: lumbar radiculopathy spondylolisthesis History: buttock and leg painPROVIDER/ATTENDING NAME: MICHAEL J LEE MICHAEL J LEE 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 a levocurvature to the lumbar spine associated with right lateral translation of L1 on L2. This was not conspicuous on the prior exam. There is multilevel disc desiccation present. There is a left-sided Tarlov cyst in the sacral spinal canal. This appears to have also been present on the priorAt L5-S1 there is no significant compromise to spinal canal. There is a left lateral disc protrusion present at this level which extends into the left neural foramen and effaces the fat surrounding the left-sided exiting nerve root. This is new since the prior exam. Since the prior exam associated endplate reactive changes developed along the left half of the disc space.At L4-5 there is mild anterior subluxation of L4 and L5 associated with diffuse disc bulge. The subluxation is new since the prior exam. There is associated bilateral facet hypertrophy. There is also associated narrowing of the neural foramina bilaterally at this level with some mild encroachment of the right-sided exiting nerve roots.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge at this level. There are some facet hypertrophic changes present at this level which were also present on the prior exam.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present at this level which extends into the neural foramina bilaterally. The exiting nerve roots are surrounded by fat within the neural foramina. There are new facet hypertrophic changes present at this levelAt L1-2 there is no significant compromise to spinal canal or neural foramina. There is mild right lateral translation of L1 and L2 associated with a broad-based disc protrusion extending along the left anterior lateral aspect of the disc space.
1.Since the prior exam patient has developed more degenerative changes. There is now a levocurvature to the lumbar spine centered at L1-L2 and mild anterior subluxation of L4 on L5 is not present in 2006. There is more disc disease and facet disease on the current exam relative to the prior exam.2.There are degenerative changes present in the lumbar spine with new mild to moderate encroachment of left-sided exiting nerve roots at L5-S1 within the left neural foramen and mild encroachment of the right-sided exiting nerve roots within the right neural foramen at L4-5.