Diagnosis: Radiculopathy, lumbar regionClinical question: Evaluate for disc herniation or spinal stenosis at L1-L2 or L2-L3 in patient with recurrent right back and hip painSigns and Symptoms: right lower back and right hip 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 no significant compromise to spinal canal or neural foramina. There is a moderate degree of facet hypertrophy at this level associated with some ligamentum flavum hypertrophy. This was also present on the prior exam.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild degree of facet and ligamentum flavum hypertrophy at this level which was also present on the prior examAt 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.
No compromise to lumbar spinal canal or neural foramina. There are mild degenerative changes present in the lower lumbar spine which have not changed substantially since the prior exam.