Lumbar polyradiculopathy with bilateral calf pain. There is transitional lumbar anatomy with lumbarization of the S1 vertebral body with a rudimentary S1-S2 intervertebral disc. For the purposes of numbering, the inferior most fully formed intervertebral disc space is considered to be the L5-S1 disc space.There is mild left curvature of the lumbar spine. The lumbar lordosis is preserved. The vertebral bodies are normally aligned. The vertebral body heights and intervertebral disc spaces are maintained. There is mild desiccation of the L2-3 and L3-4 intervertebral discs. The spinal cord and cauda equina demonstrate normal signal intensity and morphology. The conus is located at L2. A sacral Tarlov cyst is incidentally noted.T12-L1: No significant disc herniation, neuroforaminal stenosis or spinal stenosis is noted.L1-2: No significant disc herniation, neuroforaminal stenosis or spinal stenosis is noted.L2-3: There is a mild diffuse disc bulge without significant spinal or neuroforaminal stenosis.L3-4: There is a mild diffuse disc bulge without significant spinal or neuroforaminal stenosis.L4-5: No significant disc herniation, neuroforaminal stenosis or spinal stenosis is noted.L5-S1: No significant disc herniation, neuroforaminal stenosis or spinal stenosis is noted.
1. There is transitional lumbar anatomy with lumbarization of the S1 vertebral body and a rudimentary S1-S2 intervertebral disc. Please correlate with imaging of the entire spine if lumbar surgery is contemplated.2. Mild degenerative changes of the lumbar spine as described above.