Diagnosis: Thoracic or lumbosacral neuritis or radiculitis, unspecifiedClinical question: assess stenosisSigns and Symptoms: 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is some loss of disc space height as well as a disc bulge at this level and a disc desiccation.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is mild facet hypertrophy present at this level. There is mild loss of disc space height and a mild 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.There is an incompletely included cystic lesion present in the left side of the pelvis measuring approximately 50 x 44 mm in sagittal dimensions . It is bright on T2 and dark on T1-weighted imaging.
1.There are some mild degenerative changes present in the lower lumbar spine without significant compromise to spinal canal or exiting nerve roots.2.There is a left pelvic cystic lesion present which is not completely included on this exam. Please correlate with clinical exam findings. If clinically appropriate an ultrasound of the pelvis may be of benefit to further evaluate this. One possibility is that this is related to the left ovary.3.At the time of this dictation alphanumeric page was sent to Dr. James Mok with the above unusual finding and callback number. In addition an email was sent to Dr Mok as well.