Diagnosis: Thoracic or lumbosacral neuritis or radiculitis, unspecified LumbagoClinical question: evaluate for stenosisSigns and Symptoms: lumbar 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. There is multilevel disk dessication present.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a small right lateral disk protrusion extending into the inferior aspect of the right neural foramen. This protrusion is associated with T2 signal hyperintensity. The disk protrusion abuts the nerve roots at the right lateral recess along their lateral aspect.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disk bulge and mild facet and ligamentum flavum hypertrophy 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. There is a disk bulge at this level. There also endplate reactive changes which are bright on T2 and low signal on T1.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a T2 hyperintense lesion in the parenchyma of the right kidney. This could represent a cyst.
1.No compromise to lumbar spinal canal or neural foramina. There are mild degenerative changes in the lumbar spine present. A right lateral disk protrusion at L5-S1 extending to the neural foramen but abutting the nerve roots at the right lateral recess along their lateral aspect.2.There is a T2 hyperintense lesion in the parenchyma of the right kidney. This could represent a cyst. An ultrasound would help confirm this.