HomeCasesSequestered lumbar disc with cauda equina compression
PrevNext
·
100%
Slice 6 of 15

Can you make the diagnosis?

Review the images, then reveal

#FRCR 2B#MSK#Playlist:65444#Musculoskeletal#MRI
MRIMusculoskeletalConfirmedFRCR 2B

Sequestered lumbar disc with cauda equina compression

120 views540y Female10/9/2026
Clinical Presentation

Buttock pain for 10 days. Urinary incontinence 5 days. Normal neurology.

  • 12.5 cm fragment of sequestered L5/S1 disc, lying at the level of the disc space and extending caudally to the S1/S2 disc level
  • 2This occupies the majority of the spinal canal with severe compression of the thecal sac and the distal cauda equina
  • 3The right S1 descending nerve root is compressed in the lateral recess.Insignificant diffuse disc bulge at L4/L5.