Conversation: The conversation between human and AI assistant.
[|Human|] In January this year I had a L4/5 & L5/S1 laminectomy. I am in extreme pain so the Neurosurgeon sent me for a MRI which found: Extensive enhancing granulation tissue extending from the deep fascia antriorly to the thecal sac. the anterior epidural component of the granulation tissue is displacing the thecal sac posteriorly and narrowing it. The thecals sac has an AP dimension of 5mm. What does this mean in layman terms
[|AI|]  Hi you had laminectomy L4-5 / L5-S1 and are in extreme pain now. MRI Shows enhancing granuloma anteriorly, and it is displacing the thecal sac posteriorly. In my opinion in such a scenario I would first get contrast enhanced MRI to see I can find any cause for granuloma which normally develops in infection / soft tissue mass. In case you are not able to get Repeat MRI, I suggest re operation to take out the granuloma and get it biopsied.