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An Atypical Presentation Of A Common Cause Of Lateral Leg Pain - Page #3
 

Lab Studies:
No laboratory studies were indicated.

Other Studies:
The patient's prior right knee and ankle X-rays demonstrated a 2 mm area of increased density at the caudal margin of the lateral malleolus consistent with age-indeterminate osseous avulsion injury. Lumbar spine MRI demonstrated right L4-5 paracentral disc extrusion posteriorly displacing the descending L5 nerve root, facet joint arthropathy, mild central canal stenosis, and mild bilateral neural foramen stenosis Case Photo #1 . Electromyogram demonstrated a subacute right L5 lumbar radiculopathy with ongoing denervation Case Photo #2 .

Consultations:
She was also referred to an interventional spine clinic.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.

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