43 years Male (DOB:3/3/1973)Reason: Radicular low back pain. History of spinal stenosis and sciatica. PATIENT IS 406 lbs. History: severe back painPROVIDER/ATTENDING NAME: KRISTINE CHRAPEK CHRISTINE S JUN 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 a large left paramedian disc extrusion present with disc material compressing the thecal sac and effacing it. There is effacement of the fat at the left lateral recess and to some degree at the right lateral recess. Disc material extrudes behind the inferior aspect of the L5 vertebral body and superior aspect of the S1 segment. This extrusion appears to have progressed relative to the prior exam from 7/10/2015. There is loss of disc space height and disc desiccation at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion present at this level which impresses on the left-sided exiting nerve root. There is unchanged prior exam.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.
1.There is a large left paramedian disc extrusion present at L5-S1 which creates spinal stenosis and compresses the nerve roots at the left lateral recess. This has progressed since the prior exam from July 2015.2.There is a left far lateral disc protrusion present at L4-5 which impresses on the left-sided exiting nerve root. There is unchanged prior exam.