40 years Male (DOB:8/30/1975)Reason: assess for lumbar radiculopathy on the R.side, look for amyloid in the nerve roots History: H/O amyloid, radicular pain in the RLEPROVIDER/ATTENDING NAME: KOUROSH REZANIA KOUROSH REZANIA 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 mild disc desiccation at this level.At L4-5 there is no significant compromise to spinal canal or neural foramina. There is a left far lateral disc protrusion present this level which displaces the left-sided exiting nerve root after it exits the neural foramen at this level. It also mildly narrows the left neural foramen. There is mild facet and ligamentum flavum hypertrophy present at this level. There is mild loss of disc space height and disc desiccation at this level.At L3-4 there is no significant compromise to spinal canal or neural foramina. There is a Schmorl's node at this level.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 are Schmorl's nodes at this level.There is a Schmorl's node at T12-L1.
There are mild degenerative changes present in the lumbar spine without significant compromise to spinal canal. There is some encroachment of left-sided exiting nerve roots after it exits the neural foramen at L4-5 due to a far lateral disc protrusion.