Mount Faculty Practice Sinai Doctors Rony Shimony, MD 485 Madison Ave 17th Floor New York, NY 10022 Radiology Associates 1176 Fifth Avenue. MC Level 1470 Mao son Avenue. SC2 Level New York NY 10029-6574 New York NY 1 Q029.6574 Patient Sinai MR#: DOB: Accession #: Date of Exam: Examination: EPSTEIN. JEFFREY 7206913 01/20/1953 6933488 10/24/2013 RA MRI SPINE LUMBAR WITHOUT CONTRAST Dear Dr. Shimony: MRI of the lumbar spine performed in this 60-year-old bilateral radiculopathy. MRI does demonstrate T1 and T2 sagittal and T2 axials of the lumbosacral spine MRI shows normal intravertebral disc at L1-L2. L2-3 shows a disc protrusion larger on the left than right extending towards the subarticular and foramina level. This is on the left side. On the right there is a prominent disc bulge which is extending into the subarticular zone. L3-4 shows a diffuse disc bulge most of which does not impinge cn the thecal sac with a mild stenosis L4-5 shows an anterolisthesis with marked degenerative facet changes left greater than right foraminal stenosis L5-S1 shows minimal bulge part of which is due to the angle of scanning. IMPRESSION: MRI shows an L2-L3 disc protrusion larger on the left and right L4-L5 shows an anterolisthesis with marked degenerative facet changes greater on the left and right side Thank you for the courtesy of this referral. Sincerely, Michael Sacher. MD (Electronically Signed) Contributing Providerts) 1) Sather. Michael EFTA00314059