22-year-old male with right leg weakness and lower lumbar midline tenderness to palpation. Concern for disk herniation.IMAGE ACQUISITIONS: CT lumbar spine without contrast. The exam is limited secondary to excessive amount of noise within the images, due to patient's large body habitus.Alignment is anatomic. Vertebral body heights are preserved. Partially visualized is a nonspecific lucency in the right aspect of the T11 vertebral body. MRI can be considered for further evaluation if clinically warranted.At L5/S1 there is a left paramedian disk protrusion that causes stenosis of the left lateral recess and likely impingement of the left S1 nerve root. Please correlate with clinical history and exam.
1. Left paramedian disk protrusion at L5/S1 causing spinal stenosis likely impinging the left S1 nerve root. Please correlate with clinical history and exam. MRI will be helpful for further evaluation of this level and the rest of the lumbar spine.2. Nonspecific lucency in the right aspect of the T11 vertebral body. MRI can be considered for further evaluation as clinically warranted.