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Radiology Synovial Cyst of the Lumbar Spine

Synovial Cyst of the Lumbar Spine

 

Synovial Cyst of the Lumbar Spine

Synovial Cyst of the Lumbar Spine

  • Findings:
    • Low T1, high T2 extradural lesion contiguous with the facet joint
    • Surrounding enhancement
    • Mass effect
  • Associated with degenerated joints – 75% at L4-5
  • Typically posterolateral
  • Contents variable – clear fluid, calcium, hemorrhage
  • ddx:
    • Migrated herniated disc
    • Perineural cyst (close to nerve root)
    • Schwannoma (low sig capsule)
    • Hematoma
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