Diagnosis: Pain in right hipClinical question: back and (R) radicular hip painSigns 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. No abnormal enhancing lesions are appreciated in the lumbar spine.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a broad-based central disc protrusion present at this level associated with disc desiccation and loss of disc space height. The fat at the lateral recess is not effaced on either left or right side. This appears to be approximately the same compared to the prior exam.At L4-5 there is loss of disc space height, disc desiccation and diffuse disc bulge associated with some mild ligamentum flavum hypertrophy. The fat at the lateral recesses is effaced. Overall there is a mild to moderate degree of spinal stenosis at this level. The fat surrounding the exiting nerve roots within the neural foramina is preserved at this level. This has not changed significantly when compared to the prior exam from 5/1/2015At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level.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 are some degenerative changes present in the lower lumbar spine worse at L4-5 where there is a mild to moderate degree of spinal stenosis present. This has not changed significantly when compared to the prior exam from 5/1/2015.2.A central disc protrusion at L5-S1 is also stable when compared to the prior exam