65 years Female (DOB:8/4/1951)Reason: Evaluation of lumbar spine History: lumbar back pain, not sciaticaPROVIDER/ATTENDING NAME: SARAH CHOXI SARAH CHOXI 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 this desiccation and diffuse disc bulge at this level associated with bilateral ligamentum flavum and facet hypertrophy. There is some narrowing of the neural foramina bilaterally but worse on the right when compared to the left side. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat.At L4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with some partial effacement of the fat at the lateral recess bilaterally. There is some narrowing of the neural foramina bilaterally at this level. Disc material extends into the left far lateral region where there is some mild encroachment of the left-sided exiting nerve roots after it exits the neural foramen. Overall there is a mild degree of spinal stenosis at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is bilateral facet ligamentum flavum hypertrophy at this level associated with 1 to 2 mm anterior subluxation of L3 on L4. There is disc desiccation 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.
There are degenerative changes present in the lower lumbar spine worse at L4-5 where there is a mild degree of spinal stenosis and some mild encroachment of the exiting nerve roots within the left neural foramen.