Imaging of brain, cervical, and thoracic spine. Imaging without and with
gadolinium. Multiple sclerosis protocol.
MR Contrast: Gadavist
Contrast Dose: 10 cc
Route of Administration: Intravenous
Outside examination of the brain dated October 17, 2012 is available for
Minimal periventricular and punctate bilateral parietal T2/FLAIR
hyperintensity. Minimal asymmetric FLAIR hyperintensity adjacent
occipital horn of right lateral ventricle. None of these areas show
enhancement after gadolinium administration. Subtle corresponding low T1
signal associated with plaque adjacent to anterior body of right lateral
ventricle and the mid body of left lateral ventricle. There is no focal
highly restricted diffusion identified on this examination.
Stable prominent cisterna magna. This is a normal variant. Morphology
of the brain is otherwise normal.
Major intracranial arterial structures and dural venous sinuses show
typical flow void consistent with patency by spin echo criteria.
Minimal mucosal thickening involving anterior ethmoid air cells.
Counting reference: Craniocervical junction.
5 mm retrolisthesis of C6 over C7. Multilevel disc bulging, endplate and
uncinate osteophyte. Ventral cord contact at C3-C4 and C6-C7, but no
gross compression or myelomalacia. No grossly abnormal cord signal or
abnormal cord enhancement.
Canal and foramina are patent at C2-C3. Severe right foraminal narrowing
at C3-C4 primarily related to uncinate osteophyte and facet hypertrophic
change. Canal and foramina are patent at C4-C5. Annular bulging,
endplate and uncinate osteophyte at C5-C6. Canal is grossly patent, and
there is moderate to severe right foraminal narrowing. Broad
disc-osteophyte complex at C6-C7. Limited CSF space surrounding cord,
but no gross compression or myelomalacia. Relatively severe foraminal
narrowing bilaterally, particularly on the left.. Canal and foramina are
patent at C7-T1.
Canal and foramina are patent at upper thoracic levels through T5-T6.
There is disc bulging at T3-T4, but the canal remains normally patent.
Remainder of the thoracic spine shows normally patent canal and neural
foramina. Cord signal is normal. Conus terminates normally at the upper
one third of L1. No abnormal signal involving the substance of the cord,
and no abnormal enhancement after gadolinium.
Relatively nonspecific white matter changes as noted, stable since the
prior exam. This appearance can be seen in the setting of multiple
Cervical spondylosis as noted. Particularly severe foraminal narrowing
on the right at C3-C4 and on the left at C6-C7.
Thoracic spinal canal and neural foramina are patent.
No focal cord lesions identified, and no abnormal cord enhancement.
Just for the record, my eyes glazed over about a third of the way down, and after all the information bounced around my brain for awhile, it then disappeared out of my ears. I've read it 3 times now and still not retaining it yet, but this is something that keeps popping out of the darkness of my empty head.
My mother in law, had been having some odd turns for months and her dr called them minor TIA's, she's in her 80's. When she suddenly went dizzy, walking like a drunk sailor, weaving and veering to the left, falling over and being a bit confused with what was happening around her. The automatic thought was that she'd had a stroke, but according to the hospitals neuro she had a perfect brain (funny how ive heard those exact words before lol) and she definitely hadn't had a stroke and he was sceptical she'd even been having TIA's.
To cut a long story short, her neck and lower back is a mess, with less than a hand full of disc's in the middle that haven't collapsed, lots of narrowing and bulging going on etc. Though no obvious cord compression seen on her MRI, her bigwig Dr (oops forgotten her credentials) is 100% positive that her pick up sticks mess of a spine, is the direct cause of her mimicking stroke sx's.
So my pea brain is wondering, if your spine MRI could be a clue to whats going on with you, could your spine be causing some of your sx's?
ps sorry but thats all my brain could come up with
Like JJ my brain went numb reading the report. But the one thing that jumped out to me was "This appearance can be seen in the setting of multiple sclerosis." Sound like the radiologist things you have MS.
Thanks to you too, Dennis. That was the line that first caught my eye, too, but I'm not so sure. In the context, I think he's saying that the lack of more lesions and the lack of changes in my MRI do not rule out MS. I don't know that he's necessarily pointing to MS as the likely culprit.
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