67 years Female (DOB:4/7/1949)Reason: 67 y/o lady w/ a hx of liver transplant who p/w back pain History: 67 y/o lady w/ a hx of liver transplant who p/w back painPROVIDER/ATTENDING NAME: JONAH N RUBIN JONAH N RUBIN 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 loss of disc space height, disc desiccation and a broad-based right lateral recess disc extrusion which extends into the right neural foramen and encroaches on the nerve roots at the right lateral recess as well as nerve roots within the right neural foramen. It is additional mild facet hypertrophy present at this level bilaterallyAt L4-5 there is loss of disc space height, disc desiccation. There is a broad-based right lateral disc protrusion present which extends into the right neural foramen and encroaches on the right-sided exiting nerve root as well as the nerve roots of the right lateral recess.. There is facet hypertrophy present at this level which appears be worse on the right when compared to the left side.At L3-4 there is a left far lateral disc protrusion associated with facet hypertrophy. There is extension of disc material into the left neural foramen at this level with a result in encroachment of left-sided exiting nerve roots within the neural foramen and as of the exit the left neural foramen..At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion present at this level which narrows the left neural foramen.At L1-2 there is no significant compromise to spinal canal or neural foramina.
1.There are degenerative changes present in the lumbar spine with multiple disc protrusions and extrusions as well as facet hypertrophy resulting in encroachment of the nerve roots at the right lateral recess at L4-5 and L5-S1 as well as the right neural foramen at L4-5 and L5-S1 and the left neural foramen at L3-4.