School ager with diffuse scrotal hyperesthesia and pain

MRI of arachnoid cyst of the sacrum
Sagittal color doppler US of the left (above left) and right (below left) testicles shows normal appearing color doppler flow to each testicle which was confirmed on spectral dopper US. Sagittal T2 MRI without contrast of the lumbar spine (right) shows a large cylindrical structure filling the sacral spinal canal from S1-S5 whose signal intensity followed cerebrospinal fluid on all sequences.

The diagnosis was arachnoid cyst of the sacrum.