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It means that the disc between L5-S1 has protruded out to one side (not centrally), and is affecting (most likely compressing) the S1 nerve root which is below the level of the herniation (the L5 nerve root has already exited the IVF). From this report I am assuming you are having some sensory or motor problems in your lower limbs?!

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Q: What does paracentral disc herniation at the L5-S1 level causing mass effect upon the left S1 nerve root mean?
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