Assess for right lower extremity radiculopathy. Right buttock pain. Patient slipped on ice and fell. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits aside from dextrocurvature which was also evident on prior radiographs. Bone marrow signal is benign. The conus medullaris is normal in position.Mild degenerative changes are seen, as described below: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: Disc desiccation with minimal disc bulge with dorsal annular fissure. No spinal canal or neural foraminal stenosis.L4-L5: Disc desiccation with minimal disc bulge with dorsal annular fissure. No spinal canal or neural foraminal stenosis.L5-S1: Disc desiccation and mild disc bulge, slightly larger than above. There is minimal contact with the exiting right L5 nerve root. There is otherwise no significant spinal canal or neural foraminal stenosis. Paraspinous soft tissues are within normal limits.
Mild degenerative changes in the lumbar spine as described above. L5-S1 disc bulge contacts the exiting right L5 nerve root without clear evidence of impingement. There is no significant spinal canal or neural foraminal stenosis at any level.