Aa
Call Me Crazy, But...
Hi guys--
Yesterday I got the radiologist's report for a recent spinal MRI-- his findings were "normal" across the board(brain, done in March, was not normal), including the opinion that there was no enhancement post-gadolinium.
Call me crazy, but when I looked at the sagittal T1 + Contrast something popped out at me. I checked the corresponding axial slice(as well as the slices before and after each)and sure enough, seems like enhancement there, too.
This is all the more significant because it's in the C8 region, and I've been having a lot of trouble with my right hand as of late--- weakness, spacticity, etc.
Anyway, I posted them to my profile page. What do you think? I don't get in with the Queen of MS until late August but I'm seeing my primary tomorrow so she can at least keep track of symptoms for the record. I will probably print them out and bring them.
Arrrghhh!
Sadie
Yesterday I got the radiologist's report for a recent spinal MRI-- his findings were "normal" across the board(brain, done in March, was not normal), including the opinion that there was no enhancement post-gadolinium.
Call me crazy, but when I looked at the sagittal T1 + Contrast something popped out at me. I checked the corresponding axial slice(as well as the slices before and after each)and sure enough, seems like enhancement there, too.
This is all the more significant because it's in the C8 region, and I've been having a lot of trouble with my right hand as of late--- weakness, spacticity, etc.
Anyway, I posted them to my profile page. What do you think? I don't get in with the Queen of MS until late August but I'm seeing my primary tomorrow so she can at least keep track of symptoms for the record. I will probably print them out and bring them.
Arrrghhh!
Sadie
I'm not sure what your reference to C8 means. Are you talking about cervical nerve 8?
The arrow looks to me like it sits between T1 and T2, that is, the first two thoracic vertebrae. Humans have only seven cervical vertebrae. The first, larger looking bone is C1 and C2. After that they are referred to as C3 through C7.
The arrow looks to me like it sits between T1 and T2, that is, the first two thoracic vertebrae. Humans have only seven cervical vertebrae. The first, larger looking bone is C1 and C2. After that they are referred to as C3 through C7.
Hey Bob--
I know the examples we see are usually brighter, but I've also read that depending on the concentration of dye/delay of the scan, etc, you can get enhancement that isn't as bright or phosphorescent-like, especially in the spinal cord. In fact, some of the ones shown in the atlas aren't really that bright, right?
The axial slice is actually a better example. Frustratingly, the t2 sag is artifact city, even though "something" looks like it's there, and none of the other axial slices went down as far.
I know, I know. I still need to seduce a neuroradiologist. Working on it! :)
I know the examples we see are usually brighter, but I've also read that depending on the concentration of dye/delay of the scan, etc, you can get enhancement that isn't as bright or phosphorescent-like, especially in the spinal cord. In fact, some of the ones shown in the atlas aren't really that bright, right?
The axial slice is actually a better example. Frustratingly, the t2 sag is artifact city, even though "something" looks like it's there, and none of the other axial slices went down as far.
I know, I know. I still need to seduce a neuroradiologist. Working on it! :)
T1 GAD should show a very white signal for an enhancing lesion. There should be a corresponding T2 lesion at the same location. I;m not sure what you think is a lesion on the image you posted, but I'd expect something much brighter.
To see examples of GAD Enhancing lesions, check out chapter 3 of the Atlas of MRI Images
http://www.scribd.com/doc/8817608/MRI-Atlas-of-MS-Lesions
Bob
To see examples of GAD Enhancing lesions, check out chapter 3 of the Atlas of MRI Images
http://www.scribd.com/doc/8817608/MRI-Atlas-of-MS-Lesions
Bob
Sadie- I can't read an MRI to save my life...but I do see what you are pointing at. It is worth asking about for sure.
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