Please explain to me what it means as well as well tell me if surgery may be an option or more of an option that is?
The Bones, Alignment, Conus medallaris and Intervetebral discs L1-2, L2-3, L3-4, have no disc abnormalities, but
L4-5: disc desication and right paracentral 2-3 mm disc bulge causing mild mass efect on the thecal sac.
L5-S1: Disc desiccation and slight posterior disc bulge without any mass effect on thecal sac.
Within spinal canal at L5 level, there is a non-aggresive, well demarcated low T1 and high T2 signal cystic lesion meauring 1.8 cm craniocaudal, 1.4 cm AP, and 1.1 cm transverse dimension on left side that causes flattening of left contour of thecal sac.
Facet joints, no significant hypertrophic changes
Neural foramina: minimal narrowing of bilateral L5-S1 neural foramina
Impression: 1.) Posterior disc bulges of L4-5 and L5-S1 discs. Borderline central canal stenosis at L4-5 level.
2.) Cystic lesion in left side spinal canal at L5 level causing flattening of left side of thecal sac. this is not typical for a degenerated type cyst and could be a perineural/Tarlov cyst, an arachnoid or other type of cystic lesion
just a quick take on what i see here,it appears you do have some normal wear and tear stuff that is also caused by age, with one slightly bulged(not unusual to actually have really)disc.but at the area of the 'cyst"?thats a little more in depth.it does appear that this cyst is IN the spinal canal which is the area outside the thecal sac(this sac surrounds the actual spinal cord itself)it could be affecting your actual cord with just what appears to be more pressure at this point and not actual cord contact,so that part is good.but i would very highly reccomend a neurosurgeon or two just for their opinions with possible treatment options for you,but you need a NS who actually has been trained to work within that canal space,not all are actually capable in doing this.i would think that they would actually want to somehow remove this cyst before it actually starts making real cord contact.the thing with cystic development is some do tend to grow where others will remain pretty much stable.it all depends on just what this cyst actually is.there is a back board here just a scroll down from here.very helpful and knowledgable people there who could also give you some good advice.this is just my take on what i see here,and beleive me, i am no doc,just have had ALOT of actual spinal structure and spinal cord issues to deal with.the very first order of business would be to find out just what "type" of cyst this is.a good knowledgeable NS would most likely be able to tell you just by looking at your hard films.there are just certain inherent characteristics in the way certain types of cystic development shows itself.i do wish you luck with this,and please keep me posted,FB
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.
im going to see a joint specialist 2mrow who had told me to get the mri done. Do you think that i might need 2have surgery? What maybe the options do you think that he may give me? i appreciate your reply as well as i will keep you posted. What is it that you have?