Enunciado A 42-year-old male patient attends to the ER complaining of severe low back pain with irradiation to lower limbs and urinary incontinence, in the past 15 days. At physical exam, motor function impairment in L4, L5 and S1 territories (gradated M4 in L4 and M3 in L5 in S1), inguinal and perianal hypoesthesia and absence of patellar and Aquileu reflex on the right. A magnetic resonance imaging was requested. Image 1: T2-weighted sequence of magnetic resonance (MR) of the lumbosacral spine, sagittal view. Image 2: T2-weighted sequence of magnetic resonance (MR) of the lumbosacral spine, axial view. Question:Based on the clinical presentation and the attached images, which of the following diagnosis is the most likely? Prostatic hyperplasia and prostatism Osteolytic and osteoblastic methastasis Lumbar disc herniation and cauda equina syndrome Idiopathic acute transverse myelitis Time is Up! Time's up
