25 years Female (DOB:8/8/1990) PROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY 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. There is a large Tarlov cyst present in the sacral spinal canal measuring 36 x 24 mm sagittal dimensions which previously measured similar dimensions. It is centered at S3.At L5-S1 there is loss of disc space height, disc desiccation and a broad-based right paracentral disc protrusion associated with ligamentum flavum hypertrophy and some effacement of the fat at the lateral recesses bilaterally which is worse on the right compared to the left side. When compared to the previous exam there is not appear to be a significant change.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a central disc protrusion present at this level which is unchanged since the prior exam. There is loss of disc space height and disc desiccation. Overall there is no change compared to the prior exam.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.
1.There is a large Tarlov cysts present within the sacral spinal canal which is associated bony remodeling. Overall this remains stable compared to the prior exam.2.There is a right paramedian disc protrusion at L5-S1 is associated with encroachment of the nerve roots at the lateral recess bilaterally but worse on the right when compared to the left side. Overall this remains stable compared to the prior exam.