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is surgery the best treatment option for this case?
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is surgery the best treatment option for this case?

T1&T2 weighted sagittal and axial images were obtained.
loss of normal lumbar lordosis is noted,suggetive of muscle spam.
the lumbar vertebral bodies height with their bone marrow signal intensity are preserved.
L5&S1:right paracentral herniation compressing the thecal sac and right side nerve roots.the disc is thinned and dehydrated suggesting degenerative changes .
L4&L5:degenerative annular bulge with small centro-posterior tear indenting the thecal sac but not affecting the nerve roots.
L3&L4:mild annular bulge just indenting the thecal sac but not affecting the nerve roots.
no other significant discopathology is seen .
the conus medullaris appears normal.

the patient is my father and he's 50 yrs old
medically fit and healthy and he is a smoker.
i wanted to consult you to know the treatment options for this case and if surgey is urgent and should be done as early as possible?
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Avatar_dr_m_tn
Hi,
Surgery would be the best option because herniation and compression of nerve roots is noted . It may lead to Paralysis . Decompression of the nerve is necessary . Please consult a neurologist for a study of  the MRI report and the treatment plan . Hope this helps you . Take care and regards !

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