Right lower extremity radicular pain, history of lumbar microdiscectomy. Evaluate for disc herniation at L4-L5 and L5-S1. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is loss of lumbar lordosis. Alignment is otherwise within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position.Small disc bulge at T11-T12. Degenerative changes are seen in the lumbar spine with disc desiccation and height loss at L4-L5 and L5-S1.L1-L2: No significant disc disease. No spinal canal or neural foraminal stenosis.L2-L3: No significant disc disease. No spinal canal or neural foraminal stenosis.L3-L4: No significant disc disease. No spinal canal or neural foraminal stenosis.L4-L5: Minimal disc bulge. No spinal canal or neural foraminal stenosis.L5-S1: Minimal disc bulge. No spinal canal or neural foraminal stenosis.Postoperative changes are seen related to prior microdiscectomy with laminotomy at the left L4-L5 level. No significant scar formation within the spinal canal. No imaging findings to suggest arachnoiditis. No evidence of fluid collections. Partially imaged 3 x 2 cm cystic structure in the right adnexa may represent a small ovarian cyst.
Evidence of prior L4-L5 microdiscectomy without convincing evidence of recurrent disc herniation. Minimal disc bulges are seen at L4-L5 and L5-S1 without significant spinal canal or neural foraminal stenosis. 