Sciatica, right side [M54.31] / Sciatica, left side [M54.32], Reason for Study: ^Reason: eval for sctructal cause of recalcitrant sciatica lasting >6 weeks History: LBP and bilateral sciatic pain radiating to feet For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the L1-L2 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: Minimal bulging of disc. No neuroforaminal narrowing or spinal stenosis. L5-S1: Slightly prominent bilateral ligamentum flavum as well as facet joints which result minimal narrowing of bilateral lateral recess. Otherwise no remarkable finding.
Minimal narrowing of bilateral lateral recesses at the level of L5S1, otherwise unremarkable. 