Diagnosis: Foot drop, right footClinical question: hx back and leg pain. Now with Foot drop x 4months. Eval for abnormalitySigns and Symptoms: foot drop, back and leg pain 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 a disc bulge present at this level which minimally effaces the fat at the left lateral recess. There is no compromise to the exiting nerve roots.At L4-5 there is no significant compromise to spinal canal or neural foramina.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 a disc bulge and L4-5 which minimally encroaches on the nerve roots at the left lateral recess.