The Radiology Assistant
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Disc case 1

Sagittal T1-weighted images. Click to enlarge

History
Male, 28 yrs.
Long-standing low back pain recently irradiating to both outer ankles, increasing with lengthy standing and walking, relieved by sitting.


Now study and describe lumbar spinal MRI, note your findings and conclusions.
Then read the MRI report.

Sagittal T2-weighted images. Click to enlarge

Axial T2-weighted images. Click to enlarge

Myelographic images

Question
Which type of pathology is suggested by this clinical presentation?