Diagnosis: LumbagoClinical question: eval for nerve impingementSigns and Symptoms: pain in L groin radiates to back, positive contralateral leg raise test 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.At L5-S1 there is no significant compromise to spinal canal or neural foramina. There is a mild disc bulge present at this level as well as some mild disc desiccation. There is mild bilateral facet hypertrophy at this level. There is mild narrowing of the neural foramina present at this level however the exiting nerve roots within the neural foramina are surrounded by fatAt L4-5 there is no significant compromise to spinal canal or neural foramina. There is fluid within the facet joints at this level and facet hypertrophy. There is a left-sided cyst present which is adjacent to the left ligamentum flavum and left facet joint which mildly distorts ligamentum flavum and abuts the nerve root at the left lateral recess. This cystic lesion measures approximately 5 mmAt L3-4 there is no significant compromise to spinal canal or neural foramina.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 is a synovial cyst or ligamentum flavum cyst which projects towards the left lateral recess of L4-5 very minimally affecting the nerve root at the left lateral recess at this level. Please correlate with the patient's clinical symptoms.2.Degenerative changes of a mild degree are present in the lower lumbar spine