Foraminal lumbar disc herniation

Case contributed by Bálint Botz
Diagnosis certain

Presentation

Radicular left lower limb pain.

Patient Data

Age: 55 years
Gender: Male

A predominantly foraminal, about left-sided L4-5 disc herniation is visible, which extends cranially and is about 8 mm. The herniation is indenting the exiting nerve root approximately at the dorsal root ganglion. 

Other: diffuse degenerative changes, multiple small vertebral body hemangiomas. 

Annotated image

Key image showing the herniation abutting the nerve root. 

Case Discussion

Typical imaging appearance of a symptomatic foraminal disc herniation. 

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