70 years Male (DOB:1/31/1946)Reason: Eval for Stenosis History: Lower back pain and b/l LE numbnessPROVIDER/ATTENDING NAME: ANTHONY T. REDER ANTHONY T. REDER 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 redemonstration of multiple cysts sacral spinal canalAt L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a right far lateral disc protrusion at this level which encroaches on the right-sided exiting nerve root after it exits the neural foramen. This was also present on the previous exam and has not changed substantially. There is mild degree of facet hypertrophy at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a disc bulge at this level associated with some mild facet and ligamentum flavum hypertrophy. There is redemonstration of a right far lateral disc protrusion at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion at this levelAt L2-3 there is no significant compromise to spinal canal or neural foramina. There is a larger left far lateral disc protrusion at this level associated with some endplate osteophytes this displaces the left-sided exiting nerve roots.At L1-2 there is no significant compromise to spinal canal or neural foramina. There are left anterolateral osteophytes at this levelThere are multiple renal cysts present which were also identified on the prior exam. One in the superior pole of the right kidney and currently measures 57 x 68 mm and previously measured 62 x 47 millimetersNo abnormal enhancing lesions are appreciated within the lumbar spinal canal.There are bridging osteophytes present along the sacroiliac joints. These were also present on the prior exam.
1.There is no compromise to lumbar spinal canal or neural foramina. There are degenerative changes present in the lumbar spine. There are far lateral disc protrusions present throughout the lumbar spine with some displacement of the right-sided exiting nerve roots at L5-S1 and the left-sided exiting nerve roots at L2-3.2.There are multiple Tarlov cysts redemonstrated.