Conversation: The conversation between human and AI assistant.
[|Human|] Hi! What does T12-L1 broad based annular bulge that leads to mild impression on the intrathecal sac mean? And syrinx at T9-T10, T4-T5, C6-C7 levels? And mild diffuse disc bulges at T12-L1 and C6-C7? And thoracic dextroscoliosis? and levoscoliosis? And disc space is narrowing at T12-L1? And T12-L1 central focal disc protrusion effaces the ventral thecal sac? And concentric annular bulge and facet hypertrophy present at L3-L4, L4-L5,L5-S1? Also what is the treatment and how serious is all of this?
[|AI|]  Hi, I had gone through your question and understand your concerns. Levi and dextroscoliosis (left and right abnormal bending of vertebral column) together with disc space narrowing, bulge, and facet hypertrophy means there is degenerative disc and joint disease of vertebral column. Syrinx means abnormal fluid cavity of spine and is created usually by the closure/ narrowing of cerebrospinal fluid circulation. Treatment is guided by a careful symptoms evaluation and neurological examination in correlation with MRI findings. In this case I think there's need for surgery. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions.