In cervical spine MRI with whole spine T2 sagittal screening cases, 419 patients had coexisting spine lesions with 214 males, 205 females and a mean age of 58.7 years. Can you possibly read over my Dad's MRI results and let me know in general what the results mean? I suggested the cervical spine imaging based on your symptoms especially the clicking and "rice crispies" sounds. Objective: To assess the performance of diffusion tensor imaging (DTI) for the diagnosis of cervical spondylotic myelopathy (CSM) in patients with deformed spinal cord but otherwise unremarkable conventional magnetic resonance imaging (MRI) findings. Can you tell me what do you think of the MRI results. The craniocervical junction is within normal limits. The cervical cord is normal in size and signal intensity without evidence of masses or the formation of syrinx. COMPARISON: MRI cervical spine 8/16/11 FINDINGS: Cervical vertebral alignment has been adequately maintained. Cervical Figure 1 Sagittal (a) T2-weighted, (b) T1-weighted and (c) T1-weighted post-contrast magnetic resonance imaging scans of the cervical spine obtained at first presentation. Impression: Unremarkable examination of the cervical spine. Cervical spine examinations were performed on 30 volunteers using a flexible neck coil and a 0.3 T permanent magnet imaging system (Fonar B-3000, Melville, NY). He was subsequently diagnosed with MS and started on interferon beta-1a. Cervical laminectomy with biopsy of the lesion revealed a large engorged anterior epidural venous plexus (AEVP). No evidence for fracture or significant bone or edema can be seen. Also, bright signal intensity along the bilateral convexity subarachnoid spaces and sulci along with findings likely result from T2 shine-through artifact mean? C3-C4: No disc bulge or stenosis. Coagulation studies and biochemistry were unremarkable. As well as this, x-rays of the cervical spine confirmed satisfactory process of fusion and satisfactory positioning of the cages in the intervertebral spaces. A brain MRI was normal. The C7/T1 level was shown to be the most severely affected with a prolapsed intervertebral disk exerting pressure mainly over the left … The cervical alignment is maintained without spondylolisthesis. The Cervical MRI performed on 10/14/2016 revealed that C1/2 was unremarkable. Summary: A 38-year-old man with Marfan syndrome presented with headache and neck pain. The odontoid process is intact. An urgent C4-5 discectomy was performed. The procedure is also used to assess injuries of the seven cervical spine bones(9). Again, not particularly abnormal. by Saurabh Jha MD March 10, 2016 Minimal fluid signal abnormality associated with c7 benign hemangioma. Survey radiographs revealed typical findings of … No suspicious marrow lesion. The craniocervical junction is unremarkable. MRI may help detect different conditions involving the cervical spine and issues in the spinal column’s soft tissues, like the spinal cord, nerves, and disks(8). Subbanna. Magnetic resonance imaging (MRI) of the cervico-dorsal spine with whole spine screening was done which showed a single well-defined, round, thick-walled, peripherally enhancing lesion in the intramedullary region of the spinal cord at the level of T1 vertebral body with associated swelling of the cord in the cervico-dorsal region from C7 to T2 along with diffuse T2-weighted image … Vertebral body heights are maintained. This small protrusion appears to touch the ventral aspect of the spinal cord, but there is no evidence of spinal or foraminal stenosis. There is straightening of the normal cervical lordotic … Impression: Small right paramedian protrusion of the nucleus pulposus at T7-8. performed again and the results were unremarkable. It means there is no major deviation from what is considered normal. Nothing really stands out. There still may be some minor likely insignificant... MRI Scans of the cervical spine revealed … Case Report: Atlantoaxial subluxation with concurrent quadrigeminal cyst in a five-year-old Yorkshire Terrier. The physician will palpate the cervical spine to localize the area of maximal pain and tenderness. CT and MRI characteristics of presumptive hypervitaminosis A in a cat Yoshihiko Yu1, Atsushi Sugiyama2, Takashi Kuniya3 and Daisuke Hasegawa 1,4 Abstract Case summaryA rescued stray cat with an unknown history was examined for non-ambulatory paraparesis in the hindlimbs. 1a). MRI translation of my cervical spine. Mild multi-level degenerative endplate marrow change & osteophytic changes throughout most of c/s. Heel and toe walking and Romberg’s test were unremarkable. MRI Cervical Spine without Contrast. Following 6 mL intravenous Gadavist gadolinium repeat sagittal and axial T1-weighted images. The word “unremarkable” in an MRI report is frequently used to indicate that something is normal. Word usage is something that is passed down from... MRI of cervical spine done. The contrast material, which is commonly gadolinium, may be swallowed or injected to allow the doctor to more clearly detect potential problems. The most common cause of myelopathy is cervical stenosis from spinal cord compression. Most often affects the cervical spine (neck) Less common in the thoracic spine (mid back) Sometimes affects the low back (eg, severe lumbar spinal stenosis) Usually a gradual and progressive disorder; Can develop quickly (eg, trauma, injury) Below is a lateral MRI of a patient's cervical spine. Sagittal MRI of the cervical spine shows severe cord compression with cord signal change. The lumbar spine was the most common site of coexisting spine lesions followed by coexisting thoracic spine lesions while 9 patients had coexisting lesions in both thoracic and lumbar spines. COMPARISON: None . upper thorasic disk look normal. He was closely observed. If cervical stenosis with myelopathy is suspected based on medical history and physical exam, the spinal cord impingement within the narrowed canal can usually be confirmed with an MRI scan or CT scan with myelogram. The patient received a 2 week’s course of NSAIDs, oral steroids and a soft collar with restriction of his Loss of normal cervical lordosis. MRI SCAN OF THE CERVICAL SPINE: DATE OF STUDY: MM/DD/YYYY. No abnormal signal characteristics of the bone marrow can be identified. A spinal MRI is often advised if you suffer from back pain that won’t go away, or numbness in your legs or arms. We report for the first time to our knowledge a case of idiopathic transverse myelitis (ITM) mimicking a discrete A cervical MRI may also be ordered before or after spinal surgery. How should I prepare for a cervical MRI? Ask your doctor if you can eat or drink before the scan, as protocols vary between facilities. Tell your doctor if you have diabetes or kidney problems if they want to use a contrast dye during the test. RESULTS: Multisequential the multiplanar MRI of the cervical spine was performed without contrast. Disc desiccation is present from T1 through T5 and from T8 … The cervical alignment is maintained without spondylolithesis. 1. FINDINGS: Vertebral body heights and bone marrow signal are... View answer. No significant listhesis. The term "unremarkable alignment of the spine" is a common expression used in a radiology report of the spine that means the spinal alignment of the vertebrae in relation to each other is acceptable an… Agree with the others but I would add that a normal anatomical variant may be present and still be interpreted as “unremarkable”. Note that if an a... Craniocervical junction abnormalities are congenital or acquired abnormalities of the occipital bone, foramen magnum, or first two cervical vertebrae that decrease the space for the lower brain stem and cervical cord. Roles of the Cervical Spine. NO cord parenchymal signal abnormality is appreciated on sagittal imaging sequence. The MRI scan revealed spondylosis of the middle and lower cervical spine. The cervical spine performs several crucial roles, including: Protecting the spinal cord.The spinal cord is a bundle of nerves that extends from the brain and runs through the cervical spine and thoracic spine (upper and middle back) prior to ending just before the lumbar spine (lower back). The cervical spinal cord is normal in caliber and signal intensity. 1). The spinal cord is unremarkable in appearance and signal. It means the radiologist wants to say it's normal but that word carries too much legal gravity should litigation comes to pass, hence we use terms... THORACIC SPINE: Spinal … Axial T1 and gradient echo sequence. Plain X-ray of the cervical spine was unremarkable and an MRI of the cervical spine revealed a normal sagittal profile but axial cuts showed a perineural cyst on the left on the C5–C6 level (figure 1A,B). During the next 3 months, the patient’s neurologic function gradually improved, although residual weakness remained. Technique: Hitachi Oasis High field 1.2T open MRI system. He continued to worsen despite therapy and sought out a second opinion with us, with follow up examination demonstrating paraparesis, absent vibration sensation to the ankle, dermatomal sensory level at T10, and a wide-based, spastic … ... unremarkable medical history with no known allergies, and previous anaesthesia for a minor gynaecological procedure had been uneventful. Cervical spine computed tomography is unremarkable for fracture or column disruption (left); however, magnetic resonance imaging was obtained and demonstrates prevertebral edema localized anterior to the C3/4, C4/5, and C5/6 vertebral bodies (right). There is also cervical stenosis of this region, 4 years prior an MRI report stated 9mm stenosis, this RECENT MRI was read as unremarkable, despite the findings I just described. A conventional cervical spine imaging examination was also acquired on each normative control subject and used to verify that subjects did not exhibit obvious asymptomatic pathology of the spinal cord (i.e., disc protrusions). We present a case of a 37-year-old woman with a diffuse subtype TGCT of the cervical spine, affecting the left cervical 6-7 facet joint, with co-incidental cervical trauma. 3- Extradural right paracentral T1W isointense/T2W ISO-to hyper intense focus 5.0 mm at c6-c7 which abuts the anterior aspect of the spinal cord and causes stenosis of the right neural foramen with the extradural focus contacting the visualized right c7 exiting nerve root. Lower cervical spine disorders can usually be distinguished clinically (based on level of spinal cord dysfunction) and by neuroimaging. If a craniocervical abnormality is suspected, MRI or CT of the upper spinal cord and brain, particularly the posterior fossa and craniocervical junction, is done. Potential Findings Repeat cervical spine MRI demonstrated the same lesion with persistent enhancement. These include identification of fractures, ligamentous injuries, and injuries to neurologic structures, including the spinal cord and nerve roots. The patient underwent cervical EBP … The cord is unremarkable in calibre and appearance from the base of skull to the tip of the conus, with no abnormal enhancement or regions of high T2 signal to suggest demyelination. Sagittal images indicate normal craniocervical junction level. 1) the craniocervical junction is an area at the base of the skull, where the brainstem becomes the spinal cord. TECHNIQUE: MRI of the cervical... contrast given. Dixon: in-phase. Although no clonus was noted, plantar response was deemed equivocal on the left side. The word itself defines the answer - “ unremarkable”. There is nothing in the MRI or specific organ in MRI where one can see anything significant o... Cervical Spine MRI is superior to CT scan in many ways. No prevertebral soft tissue swelling is seen. Otherwise normal cervical vertebral alignment. MRI: Unremarkable = normal, not worth remarking about. His neurological examination was unremarkable. At C4-5 there is mild posterior disc osteophyte complex which is indenting the spinal cord no myelopathic signal change. Cervical spine and sacroiliac joint involvement in ankylosing spondylitis (A) Lateral cervical spine radiograph showing exuberant ossification developed from the anterior corners of C5–C6 and C6–C7. Findings: The cervical vertibral bodies are of normal height, alignment and signal intensity. Findings: The cervical spine is visualized from C1-C7. Most cervical spine fractures occur predominantly at two levels. No prevertebral soft tissue swelling is seen. The cervical MRI that was performed 5 years ago demonstrated, to my interpretation, a small cervical syrinx and associated C5-6 disc/osteophyte complex. These don’t … FINDINGS: There is no prior exam for comparative purposes at the present time. An MRI scan showed multiple neurofibromas extending through the ... Lateral cervical spine X ray in extension 2 days Fig. The patient received a 2 week’s course of NSAIDs, oral steroids and a soft collar with restriction of his activities, especially extreme stretching of his arm and neck. The treating physician will then order an x-ray of the cervical spine which if inconclusive will then order an MRI of the cervical spine to look at the internal structures of the cervical spine and will give a confirmatory diagnosis of Neck Bone Spurs or Cervical Osteophytes . In this overview we will discuss the most common cervical spine injuries. Comparison: [x] Findings: The cervical spine is visualized from C1-T1. The patient was referred to his medical doctor who ordered antero-posterior (AP) and lateral radiographs of the cervical, thoracic and lumbar spine as well as oblique views of the cervical spine. MRI: Cervical spine MRI is the easiest way to diagnose cervical spinal cord compression. He was treated conservatively but his symptoms persisted. Alignment, vertebral height in bone marrow signal unremarkable. A repeat MRI scan confirmed no residual compression of the spinal cord and no postoperative complications (Figures 5 and 6). Page Contents1 OVERVIEW2 X-RAY STUIDES3 ULTRASOUND STUDIES4 COMPUTED TOMOGRAPHY (CT) STUIDES5 MAGNETIC RESONANCE IMAGING (MRI) STUIDES OVERVIEW This page provides a much needed resource in radiology, an archive of various radiology studies that have no remarkable findings. The word “unremarkable” in an MRI report is frequently used to indicate that something is normal. I had an multiplanar T1 and T2 weighted MRI images were obtained of the cervical spine without contrast. Findings: Alignment of the cervical spine is maintained. Visualized portions of the posterior fossa are unremarkable. A nodule of the right thyroid lobe was noted (Fig. The vertebral body and disk space heights are preserved. ***** Cervical Spine MRI March 2015 Findings: The cervical spine is well aligned. After corticosteroids and plasma exchange, MRI of the cervical, thoracic, and lumbar spine revealed cervical spinal cord abnormal high T2 signal intensity extending from C2 to C7 level, and predominantly involving the anterior two-thirds of the cord and tapering distally with more central involvement. Physical examination was unremarkable, with the exception of a slight decrease in the left biceps reflex. I am an imaging specialist ( not MRI ) however, these are my own images, and I have studied them, the cord and disc are well seen, as is the obvious contact and indention of central cord, and the 2 levels of PLL … T2 hyperintensity and cord expansion are the typical findings with variable enhancement. cerebrospinal fluid analysis was unremarkable. Early stage disease symptoms are often localised and the clinical examination may be unremarkable. Preoperative MRI of a patient with cervical myelopathy shows compression of the spinal cord. There is no evidence of edema or ligamentous disruption. MRI of his head and entire spine showed features of intracranial hypotension with no obvious CSF leak. Quality of study is diagnostic. (B) MRI showing of bone oedema at the bilateral sacral and iliac wings. MRI of the cervical spine with a 1.5 Tesla magnet performed 13 hours from symptom onset revealed bilateral paramedian intramedullary T2-weighted signal change without gadolinium enhancement limited to the grey matter with corresponding diffusion restriction extending from C5-6 down to the mid-T1. Vertebral height, disc height, bone marrow signal, alignment and prevertebral soft tissues are normal. Cerebrospinal fluid analysis was unremarkable. This is consistent with spinal cord infarction (SCI). Nothing revealed, found, or interpreted as out of the ordinary. Pretty much the same thing for all descriptive statements in medicine that refer to... The cord is normal in signal. At the cervical medullary junction, you’re looking for two things: Chiari malformation, where the cerebellar tonsils descend into the foramen magnum, crowding the cord, … A cervical spine MRI scan uses radio waves to scan and take images of your neck area at varying angles and depths, depending on the specific instruction given by the attending physician. mri of cervical spine: Protocol: Plain MR of the cervical spine was performed using routine turbo spin sequences in multiplanar planes of axial, sagittal and coronal planes using head and spine coils.The sequences used were T1 & T2 Axial, T1 & T2 Sagittal, T2 fat supressed coronal. C-7/ T-1 unremarkable. Opinion > Kevin, M.D. He is 90. From the content of the report, I would assume an MRI scan of the orbits (eyes) was carried out. While the radiologist describes the findings of th... The vertebral body and disc space heights are preserved. The canal is capacious at all levels with no cord compression. Moreover, all limbs were spastic, spinal reflexes were normal and evaluation of cranial nerves was unremarkable. It is very hard to understand what is “abnormal” if there is no reference … Also, mild flattening of the right parietal lobe sulci and gyri ? Comparison MRI Cervical spine 8/14/13 and 11/20/12. Furthermore, an MRI scan may also be conducted before or after spinal surgery as a guide for the operating surgeons. C2-C3: No disc bulge or stenosis. 2). Mild bilateral foraminal narrowing at multiple levels detailed above. The cervical spine MRI can evaluate post … If the report says “ unremarkable lumbar spine “ it means there are no visible damage or injuries in the lumbar spine. a Sagittal T2-weighted magnetic resonance image of cervical spine reveals spinal cord enlargement with hyperintense lesion at the level of C1–3 (red arrow).b Axial T2WI shows hyperintense signal of right spinal cord (red arrow). Soft tissues like muscles, tendons or ligament might be injured or swollen or damaged. Management of degenerative disc disease is highly variable and patient-dependent*. Cord signal is normal. Multiplanar multisequence MRI Imaging of the Thoracic spine was performed. Sagittal alignment is otherwise maintained. Answered by : Dr. Olsi Taka ( Neurologist) What do these MRI findings of the cervical spine indicate? No significant degenerative change. The red arrow points to areas where the spinal cord is compressed—cervical myelopathy. The cervical spinal cord demonstrates unremarkable course and morphology. A spine MRI with contrast is a magnetic resonance imaging test, which produces images of the spine to facilitate the diagnosis of medical conditions. Conclusion: Calcified/ossified mass arising from the right C5 articular pillar, in the setting of previous trauma and probably a previous superior articular facet undisplaced fracture likely represents post-traumatic myositis ossificans. Plaintiff Video Archive General Spine Brain & Skull Pelvis & Abdomen Cardiovascular & Vasculature Joints Extremities Urology & Gastrointestinal Lungs Comparisons X‑Rays General Illustration vs. Authentic3D CAALA Legal Conference Spine MRI Cervical Spine 1 MRI Cervical Spine 2 CT Cervical Fractures 1 CT Cervical Fractures 2 CT Cervical Spine Fusion MRI Thoracic Retropulsion … The medical evaluation included laboratory evalustion which was unremarkable, and a cervical MRI. Tenosynovial giant cell tumor (TGCT) is a rare entity that is not well described in the neurosurgical literature. When going through a list of checkpoints in an examination, the word unremarkable is used simply to mean “I don't see anything unusual about this structure.” X-ray of the cervical spine was unremarkable and an MRI of the cervical spine revealed a normal sagittal profile but axial cuts showed a perineural cyst on the left on the C5–C6 level ( 1A,Bfigure). The canal however is widely patent and there is no epidural tumor burden at this level. No one has really told me what I am dealing with, just sent me to a pain dock, who basically told me, yeah you need a shot. What does craniocervical junction is grossly unremarkable mean? Examination findings remained unremarkable. The differential diagnoses for spinal cord lesions include spinal tumors and inflammatory processes. 1A).Biopsy of the prevertebral mass revealed LPL (Fig. Our preoperative workup included an MRI of the cervical spine, cervical X-rays, electromyography (EMG) and blood tests. Just what it says! LOL, It tends to be a generic term used most often when something is maybe not exactly what it’s suppose to be but close enough.... MRI (magnetic resonance imaging) is a test that uses a magnetic field and pulses of radio wave energy to make pictures of the organs and structures inside the body. Your cervical spine is the portion of the spine in your neck. No acute fracture is identified. The endplates are the bony ends that are cushioned by a disk in between. MRI Transcription Sample Report #8. cervical spine were obtained. Marfan syndrome may predispose the patient to enlargement of AEVP secondary to a vessel wall … The canal and neural exit foramina are capacious. Myelopathy is a clinical diagnosis characterized by dexterity loss, balance dysfunction, and bladder dysfunction. Exam performed on 1.0 Open MRI system. TECHNIQUE: Sagittal T1, T2 and intermediate weighted imaging. Secondary survey was otherwise normal, including no cervical spine tenderness. MRI screening of her cervical spine was subsequently obtained, which revealed a compressive lesion at C2 (Fig. MRI may help evaluate pain, numbness, or weakness in the arms, shoulder, or neck area. Cervical spine imaging following trauma must perform a number of clinical functions. IMPRESSION C-4/5 and C-5/6 disc bulges, without cord compression. Strength and sensory test results were normal. MRI-CERVICAL SPINE CLINICAL INFORMATION: 47-year-old female complains of neck pain radiating to the arms with clonus in the lower extremities. A circular intramedullary T2-weighted hyperintense lesion showing peripheral contrast enhancement (arrow) is seen Diagnostic modalities for cervical spine … Magnetic Resonance Imaging (MRI): Cervical Spine. An MRI of the cervical spine looks at the following: Bones A cervical spine MRI will include the cervical vertebral bodies, lamina, facets, spinous process and parts of the upper thoracic spine and lower brain. Cervical spine radiographs at this time demonstrated bulky anterior osteophyte formation at C4–5, which was a significant increase in comparison with previous postoperative images. In my opinion, the problem is coming from your cervical spine based on your complains. CLINICAL HISTORY: Degenerative changes. Technique: Four views of the cervical spine. CT of her brain was obtained, which was unremarkable. Repeat GCS 10 min after arrival was 10 (E2 V4 M4) and her mental status continued to wax and wane, but did not continue to worsen. There was nothing abnormal in the plain X-ray but Magnetic Resonance Imaging (MRI) of his cervical spine demonstrated cervical cord oedema at the level of C1/2. Routine blood-testing revealed a mild, non-regenerative anaemia. There was a mild disc bulge at C2/3 and a moderate disc bulge which abuts the ventral cord and results in mild spinal canal stenosis at C3/4. The MRI scan can highlight any abnormalities in the spinal canal or spinal cord and assess the spinal disks to determine whether they are bulging, ruptured or pressing on the spinal cord or surrounding nerves. Cervical spine refers to the top part of your spine that runs down your neck. FINDINGS: There is trace anterolisthesis of T10 on T11. MRI of the cervical spine HISTORY: Neck pain after traumatic brain injury. TECHNIQUE: Magnetic resonance imaging of the cervical spine is submitted with standard protocol sagittal and axial T1, T2, and/or gradient echo sequences, no IV contrast administered. It means the doctor didn’t see anything out of the ordinary. It means, so far as the doctor can tell, your fine. They tend to break it down into se... These abnormalities can result in neck pain; syringomyelia; cerebellar, lower cranial nerve, and spinal cord deficits; and vertebrobasilar ischemia. Word usage is something that is passed down from teacher to student, generation after generation. Results of my MRI (Back) CERVICAL SPINE: There is lesion within the C4 vertebral body with depression of the superior endplate consistent with a pathologic endplate fracture deformity. central canal or neural foraminal overlies. He - Answered by a verified Neurologist No disc intrinsic cord pathology. What does the word "unremarkable" in an MRI scan report mean? Let’s try an analogy. You have been sent detailed photos of a house for sale to evalu... Multiple sequences including Dixon method fat / water only have been obtained. Minor broad-based disk bulges are noted at C3-C4 and C5-C6. MR imaging revealed a large enhancing mass in the cervical anterior epidural space. Grossly unremarkable means it is normal neuromd2012 : One third of injuries occur at the level of C2, and one half of injuries occur at the level of C6 or C7. Management. I would like an . Scroll Stack. No acute fracture is identified. Normal signal characteristics of the spinal cord are noted. The craniocervical junction is within normal limits. You can click on some of the images to get a larger image. Cervical-spine MRI showed a protruding intervertebral disc of C4-5, hypertrophy of ligament flavum, and spinal cord compression with increased signal intensity (ISI) on a sagittal T2-weighted image (Supplementary Fig.
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