26 years Male (DOB:1/21/1990)Reason: Pain History: painPROVIDER/ATTENDING NAME: RODERICK H. BIRNIE RODERICK H. BIRNIE 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 no significant compromise to spinal canal or neural foramina. There is a right paramedian disc protrusion present at this level which mildly encroaches on the nerve roots of the right lateral recess, however, there is some spinal fluid surrounding the nerve roots at the right lateral recess. There is a punctate T2 signal hyperintensity present along the annulus at the disc protrusion at this level. There is mild loss of disc space height and disc desiccation at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a small left paramedian broad-based disc protrusion present at this level. There is some encroachment of the nerve roots of the left lateral recess at this level, however, there is some spinal fluid surrounding the nerve roots at the left lateral recess. There is mild loss of disc space height and disc desiccation 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.
1.There is a left paramedian disc protrusion present at L4-5 and a right paramedian disc protrusion at L5-S1 with only mild encroachment of the nerve roots at the associated lateral recesses.