39 years Female (DOB:7/14/1976)Reason: assess for listhesis, nerve impingment History: assess for listhesis, nerve impingmentPROVIDER/ATTENDING NAME: MICHAEL J LEE MICHAEL J LEE 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 loss of disc space height, disc desiccation and endplate reactive change at this level. The endplate reactive change is high signal on T2 and low signal on T1. There is a mild disc bulge at this level. Disc material extends into the left neural foramen but does not efface the fat surrounding the exiting nerve root. Endplate reactive changes worse on the left versus the right side.At L4-5 there is no significant compromise to spinal canal or neural foramina.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.At L1-2 there is no significant compromise to spinal canal or neural foramina.
There are degenerative changes present in the lower lumbar spine with a disc bulge at L5-S1 associated with some acute endplate reactive changes on the current exam. Inflammatory changes from endplate reaction are worse on the left versus the right side. There is no significant compromise to the spinal canal or exiting nerve roots.