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Help deciphering a MRI

Hello and thank you to anyone who reads this!
      I recently had been hospitalized by my neurologist to help find out whats wrong with me. He ordered for me to go through a EEG, a MRI of my cervical spine and a MRI of my brain. He and i both were surprised to find that i was having complex intractable seizures for the past few months. After that was done, he still wanted me to get the MRI's but i haven't heard anything about the results/impressions so i want to share them here to possibly get a brief summary of the findings. A little background on me: I'm 23 years old, have syringomyelia in my thoracic spine, suffer from chronic pain, muscle loss, trouble with mental functioning and a long history of family medical history.

BRAIN: Clinical indication. Seizures.
Technique. Coronal MP RAGE, coronal thin section fast spin echo T2 and FLAIR perpendicular to the temporal lobes, axial fast spin echo T2 and FLAIR, conventional spin echo T1 sagittal and axial images were obtained through the brain.
Findings.
The ventricles have a normal size and configuration. Increased T2 /FLAIR signal is seen within the right posterior periventricular white matter
which is nonspecific. The corpus callosum has normal volume and signal
intensity. The gray-white matter discrimination is otherwise preserved.
Intracranial mass effect or hemorrhage is not seen. There is no
restricted diffusion to suggest acute ischemia or encephalitis. There is
mild prominence of sulci at the convexity slightly greater than expected
for patient's stated age. No extra-axial fluid collections are seen.
The craniocervical junction, sella turcica and orbits are within normal
limits. The major intracranial vessels exhibit the expected signal void
related to vascular flow.
The para hippocampal formations are symmetric with respect to volume and
signal intensity. The columns of fornix and mammillary bodies are of
normal volume. No neuronal migration abnormalities are seen.
Included paranasal sinuses and mastoid air cells are clear.
IMPRESSION: NO MESIAL TEMPORAL SCLEROSIS OR NEURONAL MIGRATION ABNORMALITIES SEEN. ACUTE ISCHEMIA OR SPACE-OCCUPYING LESIONS ARE NOT
SEEN.
NONSPECIFIC RIGHT POSTERIOR PERIVENTRICULAR SIGNAL ABNORMALITY.
--------------------------------------------------------------------------------------------------------------------------
CERVICAL SPINE:
Indication. History of syrinx. Presents with hand numbness. Technique. Sagittal and axial T1 pre-/post contrast, sagittal and axial T2-weighted images were obtained precontrast infusion. Sagittal STIR imaging was also performed.
Findings.
There is a normal cervical lordosis. Mild loss of normal high T2 signal is seen from the discs compatible with disc desiccation. The cervical

spinal cord has normal signal intensity and caliber.
At C2-3 the neural foramina are widely patent. A mild disc bulge is
noted. No significant central spinal canal stenosis is seen. The facets
are minimally degenerated right greater than left.
At C3-4 with narrow inferior and lateral there is uncinate spurring which
produces mild bilateral foraminal stenosis. Disc contour is within normal
limits. There is no significant central spinal canal stenosis. There are
mild degenerative changes of the facets.
At C4-5 there is a right central disc/osteophyte complex superimposed on
a mild diffuse disc bulge. This partially effaces the ventral
subarachnoid space but does not produce any significant central spinal
canal stenosis. Mild degenerative changes of the facets are noted. There
is mild left-sided foraminal narrowing secondary to uncinate spurring.
The right neural foramen is patent.
At C5-6 the neural foramina are patent. There is a minimal disc bulge. No significant central spinal canal stenosis is produced. There are mild
degenerative changes of the facets.
At C6-7 there is a central/left central disc/osteophyte complex which
partially effaces the ventral subarachnoid space. No significant central
spinal canal stenosis is produced. Mild bilateral foraminal narrowing is
noted secondary to uncinate spurring. The facets are mildly degenerated.
At C7-T1 mild disc bulge is evident. There is a high T2 intensity zone of
the dorsal central margin of the discs compatible annular fissure. No
significant central spinal canal stenosis is seen. The neural foramina
are patent.
The visualized osseous structures have the expected T1 and T2 marrow
signal. Included portions of the posterior fossa, superior mediastinum
and lung apices are within normal limits.
IMPRESSION: RIGHT CENTRAL DISC/OSTEOPHYTE COMPLEX AT C4-5 WITH CENTRAL/LEFT CENTRAL DISC OSTEOPHYTE COMPLEX AT C6-7. THESE DO NOT HAVE
ANY SIGNIFICANT MASS EFFECT. NO SIGNIFICANT CENTRAL SPINAL CANAL STENOSIS
IS SEEN. MILD FORAMINAL STENOSES AS DETAILED ABOVE. NO INTRAMEDULLARY
LESIONS SEEN.


2 Responses
667078 tn?1316000935
The Brain MRI appears to be normal on all accounts. No lesions seen on C spine. Normal on both especially no MS.

Alex

1831849 tn?1383228392
Hi Mitch

I agree with Alex. No indocations of MS.

Kyle
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