Diagnosis: Radiculopathy, lumbar regionClinical question: lumbar radiculopathySigns and Symptoms: radiculopathy Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall 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 mild bilateral facet hypertrophy at this level. There is disc desiccation at this level. There is a diffuse disc bulge at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is some disc desiccation at this level. There is a moderate to marked degree of facet hypertrophy present which is worse on the left compared to the right side. Lung the inferior aspect of the left facet joint and superficial to it there is a synovial cyst present. There is mild effacement of fat surrounding the left-sided exiting nerve roots at this level. There is mild anterior subluxation of L4 and L5.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 worse at L4-5 where there is marked facet hypertrophy and mild subluxation resulting in encroachment of the nerve roots within the left neural foramen.