Radiculopathy, lumbar region [M54.16], Reason for Study: For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1.  There is focal left foraminal type disc protrusion at the level of L34 (series 801, image 16/25).Central disc protrusion at the level of L45 which abuts thecal sac as well as broad based disc protrusion toward left side neural foramen at the level of L5S1 are seen.Mild disc dessication at the level of L45 and L5S1 are seen.There is no significant spinal canal stenosis.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 T12-L1 level. The paraspinal soft tissues are unremarkable.
Multifocal disc protrusions L34 left side neuroforaminal, L45 central and L5S1 left neuroforaminal type as described above.