63 years Female (DOB:6/16/1952)Reason: Evaluate for spinal stenosis or lumbar disc disease causing radiculopathy on the right and leg weakness on the left. History: Sciatica pain right leg and left leg weakness with bilateral hip flexor weakness noted.PROVIDER/ATTENDING NAME: DIONNE J. BLACKMAN DIONNE J. BLACKMAN 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. Incidental note is made of fatty filum terminale.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is mild disc desiccation.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and a disc bulge at this level. There is also mild ligamentum flavum hypertrophy at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and a disc bulge at this level. There is a Schmorl's node at this level. There is T2 signal hyperintensity along the posterior periphery of the disc at this level.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a diffuse disc bulge present at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a large cystic lesion in the left renal bed measuring 7 cm diameter and are not entirely included on this exam which is a associated with a fluid fluid level. It is attached to the inferior pole of the left kidney.
1.There are mild degenerative changes present in the lumbar spine without significant compromise to spinal canal or exiting nerve roots.2.There is a large left-sided renal cyst present which is not entirely included on this exam. It has a fluid fluid level within it suggesting possible blood products. Although most likely represents a cyst because it is not entirely included exam and it exceeds 6 cm in diameter, additional imaging may help confirm this. This is an incidental finding3.There is a fatty filum terminale present.