Foraminal disc prolapse

120 views545y Male10/9/2026

Clinical Presentation

Two weeks of severe right lower back pain radiating into the right groin and testis. Unable to walk upright or extend the knee. Slight dribbling on micturition. Bowels opening normally. No improvement from diazepam or gabapentin.

1Focal right L3/L4 foraminal disc prolapse, causing severe narrowing of the right exit foramen and compression of the exiting right L3 nerve root (see annotated key images)
2The central canal and left exit foramina are capacious at this level.Minor diffuse disc bulge L5/S1
3No canal or foraminal stenosis.L1 conus
4Normal cauda equina.