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It means that there is a small disc protrusion in the lower back (just above the sacrum). It is a painful condition that might interfere with walking and balance. Discs can herniate and sequester, so the notation is so that the condition can be monitored and evaluated.

L-5 is the fifth and lowest lumbar vertebra and S-1 is the first and highest sacral bone. Paracentral indicates a slightly off center, to the left, in this case, bulge.

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Q: What is the meaning of 'Central to left para-central small disk protrusion at L5-S1'?
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