41 years Female (DOB:11/13/1974)Reason: sciatica left side History: as abovePROVIDER/ATTENDING NAME: KATARINA VESKOVIC KATARINA VESKOVIC 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. Incidental note is made of left-sided Tarlov cysts in the sacral spinal canal especially at the level of the left L2 nerve root where there is a cyst measuring 10 mm in size.At L5-S1 there is an enhancing lesion present at the left lateral recess measuring 9 x 12 mm axial dimensions associated with a disc extrusion at the left lateral recess. Some of this lesion extends behind the adjacent endplates and tracks behind the S1 segment at the left lateral recess. It compresses the nerve root at the left lateral recess. There is disc desiccation present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation and a mild disc bulge at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disc desiccation, mild disc bulge and Schmorl's nodes at this level.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.
1.There is a left lateral recess enhancing disc extrusion present at the L5-S1 level which compresses the nerve root at the left lateral recess (probably left S1 nerve root). Enhancement may indicate active inflammation.2.There are mild degenerative changes present in the lower lumbar spine.3.There are perineural cysts present in the left half of the sacral spinal canal