Diagnosis: Other intervertebral disc degeneration, lumbar regionClinical question: herniated disk? spinal stenosis? facet inflammation?Signs and Symptoms: LBP radiating to BLE 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 bilateral facet and ligamentum flavum hypertrophy present associated with some effacement of the fat at the lateral recesses bilaterally and encroachment of the nerve roots at the lateral recesses.At L4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with moderate bilateral facet and ligamentum flavum hypertrophy. There is partial effacement of fat at the lateral recess at this level. Overall there is a mild degree of spinal stenosis present.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.There is a partially visualized cystic lesion in the pelvis which is bright on T2 and intermediate signal on T1. It measures 50 x 36 mm axial dimensions but is not entirely included on this exam appears to extend into the pelvis. It is adjacent to the right common iliac artery and vein one possibility is these represent ovarian lesions.
1.There is a cystic pelvic lesion present which is not entirely included on this exam. Additional imaging may be useful. It could be ovarian or GI in origin.2.There is encroachment of the nerve roots at the lateral recesses bilaterally at L5-S1 due to facet hypertrophy.3.There is mild spinal stenosis at L4-5 due to degenerative changes.At the time of this dictation an alphanumeric page as well as an email were sent to Dr. Shaan SUDHAKARAN regarding the above findings.