Meralgia paresthetica, right lower limb [G57.11], Reason for Study: ^Reason: lumbar herniated disc vs meralgia paretsthetica- persistent neuropathic pain over the right lateral thigh History: right lateral thigh pain 45 years Female (DOB:4/6/1971)Reason: lumbar herniated disc vs meralgia paretsthetica- persistent neuropathic pain over the right lateral thigh History: right lateral thigh painPROVIDER/ATTENDING NAME: MINDY ALYCE SCHWARTZ MINDY ALYCE SCHWARTZ For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: L1-2: no neuroforaminal narrowing or spinal stenosis. L2-3: Diffuse bulging of disc with focal annular tear is seen. No neuroforaminal narrowing or spinal stenosis. L3-4: Mild disc desiccation. Diffuse bulging of disc with bilateral ligamentum flavum thickening result minimal to mild spinal canal stenosis at this level.L4-5: Mild disc desiccation. There is broad-based disc protrusion toward left side far lateral direction which result left neural foraminal stenosis.L5-S1: Mild disc desiccation. There is broad-based disc protrusion toward the right neural foramen result in mild to dural foraminal stenosis at this level.
1. Disc protrusions are seen at the level of L4-5 (left side neural foraminal) and at the level of L5S1 (right side neural foraminal).2. Various degree disc degenerations are seen from L23 to L5S1 level. 