50 years Male (DOB:11/18/1965)Reason: eval for nerve root impingement History: severe R sciatica refractory to outpatient treatmentPROVIDER/ATTENDING NAME: GREGG M HELLAND MADHU C YARLAGADDA 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 mild loss of disc space height and disc desiccation. There is mild facet hypertrophy at this level. There is mild ligamentum flavum hypertrophy at this level. There is some narrowing of the neural foramina bilaterally with mild encroachment on the exiting nerve roots on the left side and moderate encroachment of the exiting nerve roots on the right side.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild loss of disc space height and disc desiccation at this level. There is a mild disc bulge at this level and mild facet and ligamentum flavum hypertrophy.At L3-4 there is no significant compromise to spinal canal or neural foramina.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 is loss of disc space height, disc desiccation and a disc bulge present at this level.
There are degenerative changes present in the lumbar spine worse at L5-S1 where there is some encroachment of the right-sided exiting nerve roots within the neural foramen.