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Slice 6 of 15
Can you make the diagnosis?
Review the images, then reveal
MRIMusculoskeletalConfirmedFRCR 2B
Extruded lumbar disc
Clinical Presentation
Low back pain with referral to the left leg. Reduced straight leg raise. Dampened ankle jerk, L5/S1 weakness. Disc prolapse?
- 1Normal segmentation.Large L5/S1 left paracentral disc extrusion, filling the left lateral recess and indenting the thecal sac
- 2This is impinging on the descending left S1 nerve root.No impingement of the exiting L5 root.The remaining levels are normal in appearance.L1 conus.
