Disc extrusion

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Chronic low back pain and left lower limb radicular pain.

Patient Data

Age: 40 years
Gender: Male
mri

Lower lumbar intervertebral disc desiccations are seen as decreased height and a loss of hydration signal.

L4-5 left posterolateral disc extrusion with caudal migration, indenting the left subarticular zone and encroaching upon the corresponding exit foramen, exiting L4, and traversing L5 nerve roots.

L5-S1 foraminal disc-osteophyte complex encroaching upon the exiting L5 nerve root.

Case Discussion

MRI appearance of L4-5 left disc extrusion with caudal migration.

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