Office Location: 11790, Stony Brook, 2500 (631)751-2900 ...

PATIENT NAME: Cristiano, Antonia PATIENT ID: 612724 DOB: 09/23/1957 DATE OF EXAM: 11/17/2015

Office Location: 11790, Stony Brook, 2500 Nesconset Highway Bldg 15 Office Phone: (631)751-2900 Office Fax: (631)751-2051

R. Phys. Name: Chen, Morgan R. Phys. Address: 11733, East Setauket, 6 Technology Drive, Suite 100 R. Phys. Phone: (631)689-6698

Study: Low back pain with radiculopathy MRI-3T LUMBAR SPINE W/O CON History: M54.5 Lower Back Pain M62.830 Spasm of back muscles

MRI examination of the lumbosacral spine was performed on a 3.0 Tesla ultra high field wide bore magnet and multiplanar multi-sequential techniques were used. Examination of the sagittal imaging demonstrates normal alignment and a degenerative appearance of the vertebral bodies. The conus medullaris is seen to be normal. The intervertebral disks demonstrate decreased T2 signal. At L5-S1 there is a central disc protrusion with mild stenosis. At L4-5 there is a central right-sided disc protrusion with mass effect upon the exiting right L5 nerve root. Review of the remaining levels does not demonstrate evidence of focal abnormality, disc herniation or stenosis. Incompletely evaluated is a cystic mass related to the left kidney. Impression: Multilevel degenerative disc disease with left-sided asymmetry at L4-5. ICD 10 Codes: Degeneration L1-L5. M51.36 Herniated disc at L1-L5. M51.26 Herniated disc L5-S1 level. M51.27

Signed by: Edmond Knopp MD Signed Date: 11/19/2015 10:16 AM

SIGNED BY: Edmond Knopp M.D., Ext. 4071 11/19/2015 10:16 AM

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