45 years Female (DOB:5/23/1971)Reason: ?worsening of lumbosacral disc disease History: pain with radiation to lower extremities bilaterallyPROVIDER/ATTENDING NAME: DORIANE C MILLER DORIANE C MILLER 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 no significant compromise to neural foramina. There is a central disc protrusion present this level which was also present on the prior exam and appears to mildly roots have regressed. This disc protrusion associated with T2 signal hyperintensity this T2 signal hyperintensity is smaller on the current versus the prior exam. There is partial effacement of the fat at the right lateral recess at this level. The disc protrusion abuts the nerve root at the right lateral recess. The fat behind the nerve root at the right lateral recess between it and the facet is not effaced. There is disc desiccation at this level.At L4-5 there is no significant compromise to neural foramina. There is redemonstration of a central disc extrusion at this level which results in effacement of the fat at the lateral recess bilaterally and encroachment of the nerve roots at the lateral recess bilaterally. There is ligamentum flavum hypertrophy also present at this level. There is disc desiccation and loss of disc space height at this level.At L3-4 there is no significant compromise to spinal canal. There is disc desiccation at this level. There is a left far lateral disc protrusion at this level which mildly displaces the left-sided exiting nerve root as it exits the neural foramen. This was also present on the prior exam and has not changed.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 redemonstration of a disc extrusion at L4-5 which is stable compared to prior exam and affects the nerve roots at the lateral recess bilaterally at this level.2.Prior exam a right lateral recess disc extrusion at L5-S1 has mildly regressed. It abuts the nerve root at the right lateral recess.3.There is a left far lateral disc protrusion at L3-4 which affects the left-sided exiting nerve root as it exits the neural foramen. It has not changed substantially since the prior exam