Reason: concern for DDD, osteoarthritic changes of spine History: pain shooting down LEFT leg 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. L5 is presumed to be a transitional vertebra with sacralization of L5.There is redemonstration of a perineural cysts in the sacral canal. One measures 12 x 16 mm axial dimensions at the S2 level.At L5-S1 there is no significant compromise to spinal canal or neural foramina. At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a mild/moderate degree bilateral facet hypertrophy at this level which has not changed since the prior exam. There is one or 2 mm anterior subluxation of L4 on L5 present which is also unchanged. There is disk desiccation at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is disk desiccation, diffuse disk bulge and facet and ligamentum flavum hypertrophy present at this level with mild triangulation of the thecal sac appeared this has not change substantially when compared to the previous exam.At L2-3 there is diffuse disk bulge present associated with ligamentum flavum hypertrophy and some mild facet hypertrophy.At L1-2 there is no significant compromise to spinal canal or neural foramina.Sclerotic foci in the right iliac bone and another one in the left bone are stable.
1.Please note that there is a transitional vertebra present. L5 is sacralized. 2.There is redemonstration of multilevel degenerative changes in the lumbar spine were sent L4-5 and L3-4 but without significant compromise of spinal canal or exiting nerve roots.3.There are perineural cysts in the sacral spinal canal present. These are stable when compared to the previous exam.