31 years Male (DOB:4/1/1984)Reason: Evaluate for spinal cord stenosis, other pathology History: PainPROVIDER/ATTENDING NAME: JAMES M MOK JAMES M MOK 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 loss of disc space height this desiccation and endplate reactive change at this level as well as a diffuse disc bulge. Endplate reactive change is high signal on T1 and low signal on T2 STIR. Most likely endplate reactive change is chronicAt L4-5 there is no significant compromise to neural foramina. There is loss of disc space height and disc desiccation as well as a broad-based left lateral recess disc extrusion. There is partial effacement of the fat at the left lateral recess at this level with encroachment of nerve roots of the left lateral recess. Some disc material extends behind the inferior endplate of L4.At 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.
There is some encroachment of the nerve roots at the left lateral recess at L4-5 related to a broad-based disc extrusion. This is probably the left L5 nerve root which is affected