Diagnosis: Lumbago with sciatica, right side Muscle weakness (generalized)Clinical question: right side sciatica, severe with muscle weaknessSigns and Symptoms: as above 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 spinal canal or neural foramina. There are some mild ligamentum flavum hypertrophy present at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge present associated with the loss of disc space height, disc desiccation and mild ligamentum flavum hypertrophy.At L3-4 there is no significant compromise to spinal canal. There is a broad-based right lateral disc protrusion present at this level which extends into the right neural foramen and mildly encroaches on the right-sided exiting nerve root within the neural foramen.At L2-3 there is no significant compromise to spinal canal or neural foramina. There is a Schmorl's present at this level. There is mild disc desiccation mild loss of disc space height and a mild disc bulge at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina.There is a cyst present in the left kidney along the inferior pole which measures 12 mm in diameter. This can also be identified on this CT exam from 1/13/2014 and has not changed.There is a large cystic lesion present along the right lobe of the liver. This can also be identified on this CT exam from 1/13/2014 and has not changed.
1.There is a right lateral disc protrusion present at L3-4 which mildly encroaches on the right-sided exiting nerve roots within the neural foramen. There are mild degenerative changes present in the lower lumbar spine without significant compromise to the spinal canal.2.Hepatic cysts and renal cyst are stable since the prior CT abdomen exam. Please refer to CT abdomen from 1/13/2014 for further comments.