Lumbago with sciatica, unspecified side [M54.40], Reason for Study: ^Reason: eval stenosis v disk v ddd History: midline low back pain with sciatica For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. 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 conus medullaris terminates at the T12-L1 level. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: minimal bulging of disc, no neuroforaminal narrowing or spinal stenosis. L4-L5: disc dessication. Diffuse bulging of disc with bilateral ligamentum flavum thickening results mild spinal stenosis and mild bilateral neuroforaminal stenosis. L5-S1: no neuroforaminal narrowing or spinal stenosis.
Mild spinal canal stenosis and mild bilateral neuroforaminal stenosis at the level of L45 with disc dessication. 