Smaller disc protrusion is also noted ventral and bilateral at the L4-L5
interspace level obliterating the underlying epidural fatty plane.
The right nerve root appears relatively swollen when compared with the
left at the L5-S1.
The ligamentum flavum, however, is not hypertrophic.
The vertebral bodies, pedicles, laminae, facets and sacro-iliac joints are
intact.
There is straightening of the lumbar curvature, but with no compression
deformities nor spondylolisthesis.
IMPRESSION: Large disc herniation, ventral and right lateral at the L5S1 level with secondary right nerve root compression and edema. Small disc
protrusion also noted ventral and bilateral at the L4-L5.7[7]
Dr. Igual observed that the “CT scan showed large disc herniation L5-S1 with 2°
nerve root compression and edema” and recommended respondent’s “confinement
for at least two weeks for P.T. [physical therapy] and medications; if not resolved,
may need surgical decompression.”8[8]
In a letter9[9] to petitioner Varorient dated July 29, 1997, respondent,
through his counsel, stated that due to the gross and evident bad faith of petitioners
in refusing to grant him continued medical assistance until he becomes fit to work,
as recommended by their company doctors, he was forced to seek medical
7[7]
Id. at 65.
8[8]
Id. at 66.
9[9]
Id. at 67-68.