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Slice 6 of 1
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MRIMusculoskeletalConfirmedFRCR 2B
Large lumbar disc prolapse
Clinical Presentation
Low back pain and right leg cramping and pain with paresthesia since March following lifting a box. Tried some exercises but no help. No improve. Has give way feeling in leg right, needing medication for sleep. struggle with walking, bending. Reduced ROM lumbar, no sensory loss, weakness in right leg particularly noted in calf [unable to lift up unilateral]. Slump +ve. Checking for L5/S1 nerve impingement, compression and disc bulge. ? conservative vs neurosurgery.
- 1Large central/right paracentral disc prolapse at L5/S1, impinging on the descending right S1 nerve root, abutting the left S1 nerve root and causing severe central canal stenosis.No impingement of the exiting L5 nerve roots.The remaining disc levels are normal.L1 conus.