An MRI report indicating a "prominent left anterolateral disc protrusion extrusion at L5-S1" means that the intervertebral disc between the fifth lumbar vertebra and the first sacral vertebra is bulging and has partially ruptured. This protrusion is causing encroachment on the neural recess and foraminal space, potentially affecting nearby nerve roots. "Nerve root effacement and displacement" suggests that the protrusion is compressing and displacing the nerve roots in that area, which can lead to symptoms like pain, numbness, or weakness in the legs.
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