Reason: Left lumbar radicular pain. History of lumbar laminectomy History: left leg pain with low back pain and reduced patellar reflex 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. No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is loss of disk space height, disk desiccation, endplate reactive changes and a diffuse disk bulge at this level is also mild facet hypertrophy.At L4-5 there is no significant compromise to spinal canal or neural foramina. The patient is status-post left-sided hemilaminotomy at this level. There is disk desiccation and a minor disk bulge at this level as well as any mild degree of facet and ligamentum flavum hypertrophy . 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 as well some endplate reactive change.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is a disk bulge at this level and some endplate reactive change.
1.There are degenerative changes present in the lumbar spine without significant compromise of spinal canal or exiting nerve roots.2.The patient is status post lumbar spine surgery.