Diagnosis: Thoracic or lumbosacral neuritis or radiculitis, unspecified. Thoracic or lumbosacral neuritis or radiculitis, unspecifiedClinical question: disc herniationSigns and Symptoms: LLE radiculopathy 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 in the lower lumbar spine. There is a T1 hyperintense lesion present within the L2 vertebral body measuring 23 x 17 mm sagittal dimensions. There is a 15 x 12 mm T1 hyperintense lesion within the L1 vertebral body. Both of these lesions have suppressed signal on the inversion recovery images. They most likely represent vertebral body hemangiomas.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present this level associated with mild loss of disc space height and disc desiccation. There is mild ligamentum flavum hypertrophy present at this level. The fat at the lateral recesses bilaterally is not effaced. The fat surrounding the exiting nerve roots within the neural foramina is not effaced.At L4-5 there is no significant compromise to spinal canal or neural foramina. There are endplate reactive changes present at this level with Schmorl's nodes and T2 signal hyperintense signal. There is a disc bulge present this level associated with mild loss of disc space height and disc desiccation. There is mild ligamentum flavum hypertrophy present at this level. The fat at the lateral recesses bilaterally is not effaced. The fat surrounding the exiting nerve roots within the neural foramina is not effaced.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present this level associated with mild loss of disc space height and disc desiccation. There is mild ligamentum flavum hypertrophy present at this level. The fat at the lateral recesses bilaterally is not effaced. The fat surrounding the exiting nerve roots within the neural foramina is not effaced. There is a small subchondral cyst along the left facet joint at this level.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 partially imaged cystic lesion in the left kidney which is inadequately evaluated on this exam.
1.No compromise to lumbar spinal canal or neural foramina.2.There are multilevel degenerative changes present in the lumbar spine with findings suggesting more subacute degenerative change at L4-5.3.There is a partially imaged cystic lesion in the left kidney which is inadequately evaluated on this exam.