Lumbar disc extrusion on CT

Case contributed by Andrew Dixon
Diagnosis certain

Presentation

Acute back pain and right sciatica

Patient Data

Age: 45
Gender: Male
ct

Large descending right sided L4-5 disc extrusion which fills the subarticular recess and compresses the traversing right L5 nerve root. 

Case Discussion

Although MRI is far better in the assessment of disc herniation, modern CT with soft tissue algorithm can often identify large protrusions and extrusions such as in this case. 

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