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Transitional anatomy at lumbosacral junction with [lumbarized S1] [sacralized L5] [partially sacralized L5 with pseudoarthrosis or left/right L5 transverse process with adjacent S1 segment] which can be symptomatic due to altered biomechanics.[Straightening of lumbar curvature may be due to muscle spasm/strain].

[Mild/mod/sig] [multilevel] degenerative changes with osteophytosis, end-plate sclerosis and schmorl’s node formation worst at [level] along wtih [mild/mod/sig] disc height loss.

Images show complete compressibility of the deep veins and no evidence of thrombus.

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lower extremity was performed from the common femoral vein through popliteal vein at the confluence of the deep veins of the calf, with and without compression.

Appropriate osseous union without residual fracture lucency.

Fracture margins are ill-defined suggesting resorption or hyperemia associated with early inflammatory/reparative process.

Stylet was replaced and the spinal needle was removed. Patient was placed on prone position on fluoroscopy table. 1% Lidocaine was used for Local anesthesia.[ L2-3 or L3-4] interspace was localized.

Patient was placed in left lateral decubitus position midway thru CSF collection to help continue CSF flow. Under fluoro guidance, a [22]G spinal needle was advanced along the right paramidline interlaminar space into the thecal space with a single pass.

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