Male, 24 years old, with severe neuropathy and radiculopathy. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement, edema or enhancement is seen.The distal spinal cord, conus and nerve roots of cauda equina are unremarkable. No epidural abnormalities are noted. No pathologic spinal cord or leptomeningeal enhancement is seen.At L4-5, a mild diffuse disc bulge is seen, with a right foraminal/far lateral disc protrusion which contacts the exiting right L4 nerve root. The spinal canal and neural foramen are not significantly narrowed at this level.Elsewhere, no significant disc bulge or disc herniation is seen. No high-grade spinal canal or foraminal stenosis is detected.
1.A right foraminal/far lateral disc protrusion is evident at L4-5 which contacts the exiting right L4 nerve root.2.Elsewhere no significant disc bulge or disc herniation is seen. No high-grade spinal canal or neuroforaminal stenosis is detected. No abnormalities of the distal spinal cord or cauda equina are noted.