PMC6474232_01
a Myelographic sequence in MRI demonstrating an intrauterine gestation of 21 weeks and severe cauda equina compression in a 29-year-old obese primiparous mother. b T2 weighted sagittal sequence with white arrows pointing at L3-L4 and L4-L5 disc herniations and black arrow demonstrating the huge amount of subcutaneous fat adding to the surgical challenge in addressing the two level pathology with neurodeficit in this obese mother during second trimester of pregnancy. c Axial T2 images at L3-L4 showing a right posterolateral disc extrusion with inferior migration causing severe compression. d Axial image at L4-L5 showing a huge L4-L5 disc extrusion with inferior migration extending up to the pedicle level
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PMC6474232_01_41394_2019_179_Fig1_HTML.jpg
Fig1
Magnetic Resonance Imaging (MRI) (Fig. 1) revealed L3-L4 and L4-L5 disc herniations with severe canal and foraminal stenosis, consistent with the clinical neurological weakness.