31 years Female (DOB:1/10/1985)Reason: low back pain leg pain History: low back pain left leg painPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG 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. There is multilevel disc desiccation present. The patient is status post left-sided hemilaminectomy at L4-5.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a broad-based central disc protrusion present at this level which minimally abuts the nerve roots at the lateral recesses sees but does not compress them.At L4-5 the patient status post left-sided hemilaminectomy. There is effacement of the fat surrounding the nerve roots at the left lateral recess at this level.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 a Schmorl's node present at this level.
1.There is a lesion of the left lateral recess at L4-5 involving the nerve roots of the left lateral recess (most likely the left L5 nerve root) which could either represent scar formation or disc protrusion. A contrast-enhanced exam could help differentiate.2.The patient status post left-sided hemilaminectomy at L4-5.