74 years Female (DOB:10/7/1941)Reason: pain History: painPROVIDER/ATTENDING NAME: RODERICK H. BIRNIE RODERICK H. BIRNIE 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 multilevel disc desiccation present.At L5-S1 there is loss of disc space height, chronic endplate reactive changes diffuse disc bulge associated mild degree of facet and ligamentum flavum hypertrophy. Is partial effacement of the fat at the lateral recess bilaterally but more so on the right versus the left side. Encroachment of the nerve roots at the right lateral recess at this level. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat. At L4-5 there is loss of disc space height, disc desiccation and a mild disc bulge associated with mild ligamentum flavum hypertrophy. There is no significant compromise to the spinal canal or neural foramina at this level.At L3-4 there is diffuse disc bulge associated with endplate reactive changes of a chronic nature as well as facet ligamentum flavum hypertrophy. There is partial effacement of the spinal fluid surrounding the nerve roots at this level overall there is a mild to moderate degree of spinal stenosis at this level. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat. The fat at the lateral recess is not effaced at this level.At L2-3 there is disc desiccation and a diffuse disc bulge associated with ligamentum flavum hypertrophy and some facet hypertrophy. There is some crowding of the nerve roots within the thecal sac at this level. The fat at the lateral recess is not effaced at this level. Although the neural foraminal are narrowed, within the neural foramina the exiting nerve roots are surrounded by fat. Overall there is a mild degree of spinal stenosis at this level.At L1-2 there is no significant compromise to spinal canal or neural foramina. There is mild ligamentum flavum thickening this level.There is a disc bulge at T11-T12 and another one at T12-L1.
There are multilevel degenerative changes present in the lumbar spine associated with encroachment of the nerve roots at the right lateral recess at L5-S1 and mild to moderate degree of spinal stenosis at L4-5 and L3-4.