68 years Female (DOB:4/8/1948)Reason: lumbar stenosis, back pain and worsening leg numbness History: back pain and worsening leg numbnessPROVIDER/ATTENDING NAME: BEN-ZION ROITBERG BEN-ZION ROITBERG 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 neural foramina. There is marked bilateral facet hypertrophy present at this level. There is mild anterior subluxation of L5 on S1 which is stable compared to the prior exam.. There is a mild disc bulge present at this level. There is effacement of the fat at the left lateral recess adjacent to the nerve root at the left lateral recess. This is unchanged compared to the prior exam.At L4-5 there is no significant compromise to neural foramina. There is a moderate degree of facet and ligamentum flavum hypertrophy present at this level. There is partial effacement of fat at the left lateral recess at this level and some crowding of nerve roots within the thecal sac overall there is a mild to moderate degree of spinal stenosis at this level. This was also present on the prior exam.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a small central disc extrusion present at this levelAt 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 is a large right-sided renal cyst present which was also present on the prior exam and measures 35 x 31 mm axial dimensions. It is unchanged compared to the previous exam.
1.There are multilevel degenerative changes present in the lumbar spine with some moderate spinal stenosis at L4-5 and encroachment of nerve roots at the left lateral recess at L5-S1 which are stable compared to the prior exam. 