Reserved for concepts with insufficient information to code with codable children [IMO0002], Reason for Study: ^Reason: evaluate for Right sided lumbar spine radiculopathy, History: Right LE pain and N/T into L4-S1 area For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonstrate a normal MR appearance. The signal of the visualized cord is normal. The epidural space, thecal sac, and spinal cord are preserved with no evidence of spinal canal/neural foraminal narrowing. The conus medullaris terminates at the L1-L2 level. The intervertebral discs demonstrate normal T2 intensity and height with no evidence of disc herniation. The paraspinal soft tissues are unremarkable.Degenerative changes are specified by the intervertebral level as follows: T12-L1: no neuroforaminal narrowing or spinal stenosis. L1-L2: no neuroforaminal narrowing or spinal stenosis. L2-L3: no neuroforaminal narrowing or spinal stenosis. L3-L4: no neuroforaminal narrowing or spinal stenosis. L4-L5: no neuroforaminal narrowing or spinal stenosis. L5-S1: there is minimal bulging of disc central to slightly left without evidence of thecal sac or nerve root compression. No neuroforaminal narrowing or spinal stenosis.
Central to slightly left lateral minimal bulging of L5S1 disc.Otherwise unremarkable.