62 years Female (DOB:10/26/1953)Reason: Evaluate for lumbar radiculopathy/impingement History: Sciatica, intermittent R foot dropPROVIDER/ATTENDING NAME: SACHIN DILIP SHAH SACHIN DILIP SHAH 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. There is multilevel disc desiccation present.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge and some mild facet hypertrophy at this level.At L4-5 there is a moderate degree of facet hypertrophy present associated with ligamentum flavum hypertrophy mild anterior subluxation of L4 and L5, loss of disc space height, disc desiccation and a minor disc bulge. There is some partial effacement of the fat at the lateral recess bilaterally at this level there is some triangulation of the thecal sac and some crowding of the nerve roots. Overall there is a mild degree of spinal stenosis at this level.At L3-4 there is loss of disc space height, disc desiccation and ligamentum flavum hypertrophy. There is epidural fat present at this level which bulges against the posterior aspect of the thecal sac. The thecal sac is narrowed at this level and there is crowding of the nerve roots within the thecal sac.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum hypertrophy at this levelAt L1-2 there is no significant compromise to spinal canal or neural foramina.
There are degenerative changes present in the lower lumbar spine with some mild subluxation of L4-5 and some mild spinal stenosis at this level. Additionally there is a mild to moderate degree of spinal stenosis at L3-4 related to ligamentum flavum hypertrophy and epidural fat accumulation.