Updated: Jul 31, 2019
Courtesy of Alabeer Medical Clinics, Jeddah, Saudi Arabia
Adult with low back pain radiating to the right leg
CASE 3 ANSWER
There is interspinous bursa fluid (yellow arrow) and bilateral facet joints effusion (white arrows). An associated right posterolateral facet joint synovial cyst is noted (yellow circle), with mass-effect on the adjacent thecal sac
Contact of adjacent spinous processes (kissing spine), with resultant reactive changes that may cause back pain.
MRI can reveal interspinous bursa fluid and an associated posterocentral epidural cysts.
Can be treated by conservative or surgical means.