Aa
A
A
A
Close
Radiology Community
517 Members
Avatar universal

Cervical Spine MRI

I was wanting to get a second opinion on my MRI report. I went to the Dr. with a mass on the posterior of my neck,fevers below 102 for 6 months,fatigue,malaise,exteme lower back pain for 5 months (with a negative xray)neck pain, bone pain, joint pain,trouble focusing/concentrating, and depression. I had a STAT MRI the next day. I already had my follow up with my physician and I wanted to get an interpretation and maybe a suggestion of what the next step would be after getting results such as mine. I am getting ready to move to Germany to be with my husband who is stationed there and I wanted to see if others agreed with my family doctor. Thank you very much for your time!


Report Text: MRI of the cervical spine with contrast

Technique: 3 Tesla MRI of the cervical spine without contrast was performed utilizing sagittal T1, sagittal T2, sagittal STIR, axial T2, postcontrast axial T1 and sagittal T1 sequences.

Comparisons: None.

Findings: Corresponding to the palpable marker is an approximately 8 x 6 x 4 mm structure within the subcutaneous soft tissues at approximately the level of C2-C3, which is T1/T2 hypointense and demonstrates homogeneous enhancement.  Additional similar appearing structures are noted within the right posterior subcutaneous soft tissues (series 108, image 14), measuring up to 6 mm.

Vertebral bodies are normal in height and alignment. Marrow signal is normal. The cord appears normal in caliber and signal. Posterior fossa structures are unremarkable.

Axial segmental analysis by level:

C5-C6: Posterior disk osteophyte complex with prominent central component resulting in mild to moderate canal narrowing in the midline with anterior indentation upon the spinal cord.  No significant cord signal abnormality at this level.  No significant foraminal narrowing.

C6-C7: Broad based disk osteophyte complex resulting in mild canal narrowing without significant foraminal narrowing.

No significant canal or foraminal narrowing at the remaining levels.

Impression: 1. Nonspecific 8mm enhancing structure within the subcutaneous soft tissues, which corresponds to the area of palpable concern.  Additional similar-appearing structures in the right posterior neck subcutaneous tissue.  These are nonspecific and may represent lymph nodes. 2. Disk osteophyte complex at C5-C6 results in canal narrowing and indentation on the spinal cord at this level.  Mild disk degeneration at C6-C7.

Amended Report:
MRI of the cervical spine with contrast

Technique: 3 Tesla MRI of the cervical spine without contrast was performed utilizing sagittal T1, sagittal T2, sagittal STIR, axial T2, postcontrast axial T1 and sagittal T1 sequences.

Comparisons: None.

Findings: Corresponding to the palpable marker is an approximately 8 x 6 x 4 mm structure within the subcutaneous soft tissues at approximately the level of C2-C3, which is T1/T2 hypointense and demonstrates homogeneous enhancement.  Additional similar appearing structures are noted within the right posterior subcutaneous soft tissues (series 108, image 14), measuring up to 6 mm.

Vertebral bodies are normal in height and alignment. Marrow signal is normal. The cord appears normal in caliber and signal. Posterior fossa structures are unremarkable.

Axial segmental analysis by level:

C5-C6: Posterior disk osteophyte complex with prominent central component resulting in mild to moderate canal narrowing in the midline with anterior indentation upon the spinal cord.  No significant cord signal abnormality at this level.  No significant foraminal narrowing.

C6-C7: Broad based disk osteophyte complex resulting in mild canal narrowing without significant foraminal narrowing.

No significant canal or foraminal narrowing at the remaining levels.

Impression: 1. Nonspecific 8mm enhancing structure within the subcutaneous soft tissues, which corresponds to the area of palpable concern.  Additional similar-appearing structures in the right posterior neck subcutaneous tissue.  These are nonspecific and may represent lymph nodes. 2. Disk osteophyte complex at C5-C6 results in canal narrowing and indentation on the spinal cord at this level.  Mild disk degeneration at C6-C7.

2 Responses
Avatar universal
Anything?
Avatar universal
The reports are often ambiguous and so many neurologist only read and don't look at the images.
Then, you have to consider gravity and pressure changes when someone is lying flat vs being in a tilt MRI machine that shoots images while you are sitting or standing.
I would like to hire a diagnostic radiologist as my dr.
Have an Answer?
Top General Health Answerers
11548417 tn?1506084164
Netherlands
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
In this unique and fascinating report from Missouri Medicine, world-renowned expert Dr. Raymond Moody examines what really happens when we almost die.
Think a loved one may be experiencing hearing loss? Here are five warning signs to watch for.
When it comes to your health, timing is everything
We’ve got a crash course on metabolism basics.
Learn what you can do to avoid ski injury and other common winter sports injury.
Here are the pros and cons of the top fad diets and weight loss plans of the year.