MR CERVICAL SPINE WWO CONTR STUDY: Cervical spine MR with and without contrast
COMPARISON:Brain MR 5/20/09
TECHNIQUE: Sagittal T2, T1 and inversion recovery, axial T1 and T2
and post 17 cc IV gadolinium sagittal and axial T1 weighted images
were performed through the cervical spine.
FINDINGS: There is mild straightening of the usual cervical spine
lordosis. Probable hemangioma is partially visualized in the
anterior T2 vertebral body which exhibits high T1 and T2 signal.
Persistent chronic bulge along the posterior aspect of the cervical
cord at the C2 level is stable compared to prior MR.
Minimal posterior disk osteophyte complexes are present at the C4-5
through C6-7 levels none of which results in central canal narrowing.
The remaining disk spaces are normal. No foraminal narrowing is
identified. Patchy high T2 signal is seen in the mid to lower
cervical cord on sagittal T2 weighted images which is not
corroborated on axial T2 weighted images and is felt to represent
artifact. There is no cord syrinx. Postoperative change in the
suboccipital region from prior tonsillar decompression surgery with
expected posterior fossa dural enhancement is noted. No pathologic
enhancement is seen throughout the cervical spine.
Unremarkable cervical spine MRI with and without contrast. No
evidence for syrinx.
I have personally viewed this procedure/exam and reviewed this report.
Author: NICK STATKUS, M.D.
Reviewer: JEFF POLLOCK, M.D.
STATUS FINAL / Dr. JEFF POLLOCK
STATUS PENDING FINAL APPROVAL / Dr. NICK STATKUS
STATUS PRELIMINARY - UNSIGNED / Dr. NICK STATKUS
HI, sorry, I can not make nething out....hemangioma is something from birth and are usually benign.....unless u have a fracture or compression at that point, it is unlikely that it is causing ur issues...plus it says probable hemangioma.....not sure if they have the right slices to see .
It appears u will have to wait on the CINE to see if u have a blockage, cuz to me it appears there isn't nething big going on here....his impression is empty.
I wish I could understand all the other info better, but it all looks normal...except for the straightening of the lordosis, but most of us have that...it can be bcuz we r lying down for the MRI or muscle spasms.
Try Kittyluv1 in Back & Neck forum...if there is something here, she may be able to explain it...she is well informed.
The results of your MRI as posted apparently show no significant changes since your prior exam;
The straightening of the usual cervical spine lordosis can be related to muscle spasm and is not indicative of any major problems. The hemangioma which is partially visualized in the T2 vertebral body is generally a benign lesion of the bone that is not usually symptomatic unless it is sufficiently large enough to cause pressure severe enough to cause nerve root compression or compromise of the spinal cord. They usually require no direct treatment.
There is a bulge noted along the back side of the spinal cord at the C2 level which apparently has not changed in size since your last exam. There is some evidence of bone spurs (osteophyte complexes) from C4-5 to C6-7 levels, but no compromise or narrowing of the central canal through which the spinal cord travels. The neural foramen are patent and no signs of nerve root compromise are noted. The upper cervical levels are normal.
The patchy signal seen in the mid to lower cervical cord is seen on only one image slice and is not found on corresponding images which is felt to be an artifact or interference with signal of the magnetic field and is not clinically significant.
There is no evidence of syrinx -- meaning there is no evidence of any abnormality within the spinal cord and the cerebrospinal fluid is not compromised.
There is evidence of a previous surgery for tonsillar decompression (removal of a protrusion of the cerebellum) and the posterior fossa of the skull and spinal cord are better visualized (where previous obstruction existed?)
In essence, there are no new clinical findings and the MRI done with and without contrast shows no pathology.
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