Hi, was just wanting thought's about getting a second opinion on MRI report and if I should be worried?
The cerebellar tonsils are located up to 19mm below the level of the foramen magnum, greater on the left side, consistent with a Chiari 1 malformation.
The remaining midline structures have a normal appearance. There is no space-occupying lesion, midline shift or surface collection. Ventricular size and sulcal width are compatible with the patient's age. Normal flow voids are present. There is no evidence of acute ischaemia or haemorrhage. The orbits have a normal appearance.
There are two separate channels of T2 hyperintensity within the spinal cord, extending from C2-T5 levels. It is predominantly located centrally within the cord and follows CSF signal on all sequences, consistent with syringohydromyelia. This dilatation is maximal at the C7 level, where is measures 8mm transverse x 6mm AP. It causes mild diffuse enlargement of the cord from approximately C3-T1 levels.
There is a bilobed disc-osteophyte complex at the C2/3 level, greater on the right side. It produces mild right foraminal narrowing, which is confirmed on the CT study of 14/7/2010.
At C3/4, there is a minor disc-osteophyte complex, without significant foraminal narrowing.
The Chiari 1 malformation is again noted at the C1 and C2 levels. There is no spinal stenosis at any level. Bony alignment is normal and there is no significant focal bony lesion.
"1st MRI report, told to go home and have a pain killer.".......Whoever told you to do that and isn't doing any follow-up is a true idiot. Get rid of him or her. I tell......some physicians just don't care.
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