Reason: LBP, right anterior thigh and calf pain History: LBP, right sided radicular symptoms 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 loss of disk space height, disk desiccation and diffuse disk bulge associated with mild ligamentum flavum hypertrophy. There is partial effacement of the fat of the lateral recesses bilaterally at this level and effacement of the fat within the neural foramina at this level left worse than right there is encroachment of the left-sided exiting nerve roots within the neural foramina. There is mild encroachment of the nerve roots of the lateral recesses bilaterally left more than right at this level.At L4-5 there is loss of disk space height, disk desiccation and diffuse disk bulge associated with mild ligamentum flavum hypertrophy. Facet hypertrophy is more on the left versus the right side at this level. There is effacement of the fat of the left lateral recess and encroachment of intervertebral left lateral recess at this level. There is mild encroachment of the nerve roots of the right lateral recess at this level. There is mild narrowing of the neural foramina this levelAt L3-4 there is loss of disk space height and desiccation, diffuse disk bulge and moderate bilateral ligamentum flavum and facet hypertrophy resulting in effacement of the fat of the lateral recess ease and effacement of the spinal fluid surrounding the cauda equina. Overall there is a moderate degree of spinal stenosis at this level. There is mild narrowing of the neural foramina bilaterally 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 some endplate reactive changes associated with the disk bulge at T11-T12 associated with a mild degree of spinal stenosis.
1.There is a moderate degree of spinal stenosis at L3-4 related to degenerative changes.2.There is encroachment of the nerve roots at the left lateral recess at L4-5 related to facet disease and a disk bulge.3.There is mild to moderate encroachment of the exiting nerve roots on the left-sided L5-S1 were there is also some mild to moderate encroachment of the nerve roots of the lateral recesses bilaterally - left more than right.