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MRI of brain, cervical & thoracic spine Results

24 female. The following are recent MRI results, hoping for a better understanding & possible diagnosis! Been misdiagnosed by different Drs. over the past few years with carpal tunnel & then shingles. Prior to the MRI test my recent/current dr diagnosis fibromyalgia. all blood work normal other than enlarged red blood cells. Help Please! (To many symptoms to list)

7/31/13 Mri Brain (With & Without Contrast) (Cpt=70553)
Narrative
EXAMINATION: MRI BRAIN WITH AND WITHOUT CONTRAST

INDICATION: Headaches and muscle pain.

TECHNIQUE: Multiplanar multisequence imaging of the brain is performed without and with intravenous
gadolinium on a 1.5 Tesla magnet. 7.5 mL of Gadavist was utilized.

EXAMINATION: MRI BRAIN WITH AND WITHOUT CONTRAST

INDICATION: Headaches and muscle pain.

TECHNIQUE: Multiplanar multisequence imaging of the brain is performed without and with intravenous
gadolinium on a 1.5 Tesla magnet. 7.5 mL of Gadavist was utilized.

COMPARISON: None.

FINDINGS: No restricted diffusion is identified. Minimal T2 prolongation is noted involving the
posterior right periventricular white matter. The lesion is perpendicular to the corpus callosum. A
second tiny focus of T2 prolongation is noted within the right anterior periventricular white
matter. With the administration of gadolinium, no abnormally enhancing lesions are identified. No
mass, mass effect, or midline shift is identified. The ventricles are normal in shape and size. No
extra-axial fluid collections are identified. The intravascular flow voids are unremarkable.
Pituitary fossa, posterior fossa, craniocervical junction, and cerebellopontine angles are
unremarkable. The paranasal sinuses are well aerated and clear. Orbits and globes are unremarkable.
Fluid is noted within the mastoid air cells. Mild prominence of the adenoidal tissue is noted.
Cavernous sinuses are unremarkable.

7/31/13 Mri Brain (With & Without Contrast) (Cpt=70553)
Narrative
EXAMINATION: MRI BRAIN WITH AND WITHOUT CONTRAST

INDICATION: Headaches and muscle pain.

TECHNIQUE: Multiplanar multisequence imaging of the brain is performed without and with intravenous
gadolinium on a 1.5 Tesla magnet. 7.5 mL of Gadavist was utilized.

COMPARISON: None.

FINDINGS: No restricted diffusion is identified. Minimal T2 prolongation is noted involving the
posterior right periventricular white matter. The lesion is perpendicular to the corpus callosum. A
second tiny focus of T2 prolongation is noted within the right anterior periventricular white
matter. With the administration of gadolinium, no abnormally enhancing lesions are identified. No
mass, mass effect, or midline shift is identified. The ventricles are normal in shape and size. No
extra-axial fluid collections are identified. The intravascular flow voids are unremarkable.
Pituitary fossa, posterior fossa, craniocervical junction, and cerebellopontine angles are
unremarkable. The paranasal sinuses are well aerated and clear. Orbits and globes are unremarkable.
Fluid is noted within the mastoid air cells. Mild prominence of the adenoidal tissue is noted.
Cavernous sinuses are unremarkable.

Impression
IMPRESSION:
T2 prolongation within the posterior right periventricular white matter, which is perpendicular to
the splenium of the corpus callosum. No enhancement of the lesion is noted. No restricted diffusion
is noted. Findings are nonspecific. Differential diagnosis includes demyelinating disease or chronic
ischemic changes. Clinical correlation is recommended. If clinically warranted, further evaluation
with MRI the cervical and thoracic spine with and without gadolinium may be helpful to evaluate for
discrete cord lesions.

----------
8/30/13 Mri Spine Cervical (With & Without Contrast) (Cpt=72156)

Narrative
MRI CERVICAL SPINE WITHOUT AND WITH CONTRAST

HISTORY: Back and neck pain.

TECHNIQUE: Routine noncontrast and gadolinium-enhanced MRI cervical spine study utilizing standard
protocol including sagittal T1, T2, and STIR sequences as well as axial T2 and gradient echo images.

Contrast: 7.0 cc Gadavist

COMPARISON: None

FINDINGS:

Alignment: Within normal limits

Bone marrow signal: Within normal limits

Cervical spinal cord: Normal in signal and caliber.

Cervicomedullary junction: Unremarkable

Discs: Within normal limits

Vertebral body heights: Well-maintained

C2-C3: Unremarkable

C3-C4: Unremarkable

C4-C5: Unremarkable

C5-C6: Minor posterior spondylotic changes but otherwise unremarkable.

C6-C7: Minor posterior spondylotic changes with tiny posterior focal disc protrusion indenting the
ventral thecal sac. Overall, mild central spinal canal stenosis. No significant foraminal stenosis.

C7-T1: Unremarkable

No definite spinal or paraspinal masses or areas of abnormal enhancement seen.

Mild prominence of the adenoids. Please correlate clinically.

. Impression
IMPRESSION:
1. Small posterior focal disc protrusion at C6-C7.

2. Cervical spinal cord appears to be normal in signal and caliber.

3. Mild prominence of the adenoids.

------------

8/30/13 Mri Spine Thoracic (With & Without Contrast) (Cpt=72157)
Narrative
MRI DORSAL SPINE WITHOUT AND WITH CONTRAST

HISTORY: Back pain.

TECHNIQUE: Routine noncontrast and gadolinium MRI dorsal spine study utilizing standard protocol.

Contrast: 7.0 cc Gadavist

FINDINGS: The alignment of the dorsal spine and the dorsal spinal cord appear to be within normal
limits. Suspect small hemangioma within the T8 vertebral body. Otherwise, bone marrow signal is
within normal limits. Vertebral body heights appear to be reasonably well maintained.

Unremarkable MRI dorsal spine study.

Impression
IMPRESSION: Unremarkable noncontrast and gadolinium-enhanced MRI dorsal spine study.

--------
Can any one help me understand what these results mean?
1 Responses
351246 tn?1379685732
MEDICAL PROFESSIONAL
Hi!
Actually all reports are mainly normal with exception f mild spondylitis changes ate C6-C7 and brain lesion which is non-specific and could be due t localized demyelination or ischemic changes. Normally C6-C7 spondylitis can cause compression of C6 spinal nerve and cause pain along the arm and part of the upper back.
However if you have aches and pains that come and go at various parts of the back then the diagnosis could include: due to fibromyalgia, chronic fatigue syndrome, severe anemia, ankylosing spondylitis, osteoarthritic changes of the vertebrae, calcium deficiency, low Vit D, electrolyte disturbance, peripheral neuropathy due to diabetes or hypothyroidism or Lyme or lupus.
Please discuss with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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