Unusual Symptoms

Procedure MR Cervical Spine Without Contrast - Details August 22, 2023


Exam Status: Final

The imaging provider, LPS, MD, reviewed your images and created this report to communicate with your care team. Your care team may not have yet reviewed this report but will discuss these results with you at your next visit, through telephone, or MyChart messaging. If you do not have a visit scheduled and wish to schedule one, please reach out to your practice through MyChart or by calling the practice directly.


MR BRAIN WITHOUT CONTRAST - FOCUSED BRAIN, MR CERVICAL SPINE WITHOUT CONTRAST 8/22/2023 1:15 AM


INDICATION (as provided by referring clinician_: r/o stroke
ADDITIONAL HISTORY: Spinal canal stenosis seen on CT stroke protocol at C7-T1
COMPARISON: 8/21/2023 CT stroke protocol.
TECHNIQUE: Multiple sequences through the brain and cervical spine were acquired at 3.0 tesla.
MEDICATIONS: None
IMPRESSION: PRELIMINARY FINDINGS AND IMPRESSION:

BRAIN:

No acute hemorrhage, No herniation. Periventricular and deep white matter foci of T2/FLAIR signal hyperintensity, nonspecific, likely related to chronic microvascular ischemic change. No reduced diffusion. Focal susceptibility signal in a region of FLAIR hyperintensity in the right centrum semiovale, compatible with a chronic mnicrohemorrhage.


Focal area of smooth dural thickening overlying the right frontal lobe measures up to 10mm (series 600. image 441>, is T1 isointense, mildly FLAIR hyperintense, and without abnormal susceptibility/reduced diffusion. There may be a thin posterior dural tail. Lesion is overall suggestive of a small meningiomna without significant local mass effect. In retrospect this is visible on the recent companion CT brain but not on remote CT imaging from 2014.


Ventricles within normal limits of size for age. No extra-axial collection.


Maintained vascular flow voids.


CERVICAL SPINE:

Multilevel cervical degenerative changes, including areas of disc osteophyte complex formation, uncovertebral hypertrophy, facet hypertrophy, and ligamentum flavum thickening, as suggested on CT. Ligamentum flavum thickening is more conspicuous on MRI, particularly at C5-C6, and moderate to severe narrowing at C7-T1.


Mild deformity of the right lateral cord at C5-C6 due to external mass effect. No cord signal abnormality.


Multilevel degenerative neural foraminal narrowing, moderate to severe on the left at C5-6 where there is severe canal stenosis without associated cord signal abnormality. Additional multilevel moderate to severe neuroforaminal narrowing as detailed above.


IMPRESSION:
1. Normal MRI of the brain for age, specifically, no evidence of acute ischemia.

2. Dural based lesion overlying the right middle frontal gyrus measuring up to 4 mm in thickness is compatible with a small meningioma.

3. Multilevel degenerative changes of the cervical spine most pronounced at C5-6 where there is severe canal stenosis without associated cord signal abnormality. Additional multilevel moderate to severe neuroforaminal narrowing as detailed above.

Show images for MRI cervical spine without contrast