Pain in right hip [M25.551], Reason for Study: ^Reason: sciatica type pain - pt previously on long term steroids History: see above For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. There is no evidence of abnormal enhancement, cord compression or mass. Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: Diffuse bulging of disc with ligamentum flavum thickening, resulting minimal spinal canal stenosis. No neuroforaminal narrowing. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: Disc desiccation. There is focal disc bulging toward left side lateral recess which narrows left side neural foramen. L5-S1: no neuroforaminal narrowing or spinal stenosis.
1. Broad-based focal disc bulging toward left side neural foramen of L4-5.2. Minimal spinal canal stenosis at the level of L23.