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These changes are usually diagnosed on magnetic resonance imaging of the lumbar spine and are usually located in the lower part of the spinal canal. They are also described as meningeal periradicular or perineural cysts. These are extensions of the nerve root sheath that are filled with a transparent liquid (cerebrospinal fluid). They rarely exert significant pressure on nerve roots to require surgical treatment. This is usually an incidental finding on the MRI images. However, some physical activities may be limited due to the problems caused by these cysts or they may cause radiculopathies. The decision on possible surgical treatment is made by a neurosurgeon.