Patient presents with complaints consistent with lumbar spinal stenosis and radiculopathy.  Symptoms include low back pain radiating to the legs, described as neurogenic claudication.  Pain is exacerbated by walking and standing, and relieved by sitting or flexion at the waist.  The patient reports numbness, tingling, and weakness in the lower extremities, specifically mentioning [Affected leg(s) and dermatomal distribution, e.g., right L5 dermatome].  Physical examination reveals positive straight leg raise test on the [Affected side(s)]  and diminished reflexes in the [Affected reflex(es), e.g., Achilles tendon].  The patient demonstrates a cautious, antalgic gait.  Review of systems is negative for bowel or bladder incontinence.  Assessment suggests lumbar stenosis with radiculopathy, likely at the [Suspected spinal level(s), e.g., L4-L5].  Differential diagnoses include lumbar disc herniation, degenerative disc disease, and spinal osteoarthritis.  Plan includes MRI of the lumbar spine to confirm diagnosis and assess the degree of stenosis.  Conservative treatment options will be considered, including physical therapy, pain management with NSAIDs and neuropathic pain medications such as gabapentin, and epidural steroid injections.  Surgical intervention, such as laminectomy or decompression surgery, may be considered if conservative measures fail to provide adequate relief.  Patient education provided on lumbar stenosis, radiculopathy symptoms, and treatment options.  Follow-up scheduled in two weeks to review MRI results and discuss treatment plan.