Lateral lumbar disc herniation with psoas edema

Case contributed by Dr David Kim

Presentation

MRCP for ? ampullary lesion.

Patient Data

Age: 60

Left lateral herniation of the L1/2 and L2/3 discs protrudes into the deep aspect of the left psoas muscle and is associated with surrounding intramuscular T2 hyperintensity.

Case Discussion

A far lateral herniation accompanying degenerative change can elicit significant adjacent muscular edema, as seen in this case, and should not be confused for an infective etiology. This was an incidental finding on an MRCP.

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Case information

rID: 70189
Published: 10th Aug 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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