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What Is The Analysis Of The Attached Report?
* * *Final Report* * *
DATE OF EXAM: Nov 20 2013 5:57PM
QBM 0567 - MRI NECK WWO CONTRAST / ACCESSION # 0000
PROCEDURE REASON: Pain in limb
* * * Physician Interpretation * * *
COMPARISONS: Ultrasound from 01/23/2013 and CT from 12/12/2002.
HISTORY: Neck soft tissue lump in neck pain.
TECHNIQUE: MRI neck and cervical spine spine without and with contrast.
MR Contrast: Gadavist
Contrast Dose: 5 cc
Route of Administration: Intravenous
RESULT: Counting reference: For purposes of dictation the superior most
cervical intervertebral disk is taken as C2-3 and prior to any surgical
intervention correlation with plain radiograph is warranted. No
structural or anatomic anomalies.
MRI CERVICAL SPINE: Alignment, vertebral body height, marrow signal,
central canal, thecal sac, spinal cord signal/caliber and posterior fossa
is normal. No fracture or dislocation or subluxation. Surrounding soft
tissues, fat and muscle planes are without soft tissue mass or pathologic
adenopathy. Patent vascular flow voids. Intervertebral disks are normal
to minimally decreased in height and signal. No central canal
impingement -- compression. On contrast there is no abnormal enhancement
within central canal, thecal sac, spinal cord or posterior fossa.
C2 -- 3: Central canal and neural foramina are patent.
C3 -- 4: Central canal and neural foramina are patent.
C4 -- 5: Central canal and neural foramina are patent.
C5 -- 6: Central canal and neural foramina are patent.
C6 -- 7: Central canal and neural foramina are patent.
C7 -- T1: Central canal and neural foramina are patent.
MRI NECK: Extensive blooming is identified in relation to the anterior
maxilla and mandible and also a linear structure of blooming is
identified which extends from the posterior mental region of the mandible
along the floor of the mouth inferiorly most likely representing a clip
or postsurgical wire. Plain radiograph or CT or visualization would be
of further value to characterize.
No definite soft tissue mass or asymmetry. Left thyroid colloid cyst is
stable and unchanged. No pathologic adenopathy or soft tissue masses or
abnormal enhancing lesions within the neck with maintained soft tissue
and fat and muscle planes. Vascular flow voids are patent.
Aerodigestive tract in the visualized portions from base of tongue
inferiorly symmetrical and unremarkable without any soft tissue mass or
asymmetrical mucosal lining.
IMPRESSION:
1. Normal MRI cervical spine.
2. Postsurgical neck changes with susceptibility artifact.
3. Loss of signal along floor of mouth (likely related clip or wire --
surgery).
4. No asymmetry or soft tissue mass.
5. Overall neck CT is stable (allowing for change in modality).
Could you help me understand this test result please.
DATE OF EXAM: Nov 20 2013 5:57PM
QBM 0567 - MRI NECK WWO CONTRAST / ACCESSION # 0000
PROCEDURE REASON: Pain in limb
* * * Physician Interpretation * * *
COMPARISONS: Ultrasound from 01/23/2013 and CT from 12/12/2002.
HISTORY: Neck soft tissue lump in neck pain.
TECHNIQUE: MRI neck and cervical spine spine without and with contrast.
MR Contrast: Gadavist
Contrast Dose: 5 cc
Route of Administration: Intravenous
RESULT: Counting reference: For purposes of dictation the superior most
cervical intervertebral disk is taken as C2-3 and prior to any surgical
intervention correlation with plain radiograph is warranted. No
structural or anatomic anomalies.
MRI CERVICAL SPINE: Alignment, vertebral body height, marrow signal,
central canal, thecal sac, spinal cord signal/caliber and posterior fossa
is normal. No fracture or dislocation or subluxation. Surrounding soft
tissues, fat and muscle planes are without soft tissue mass or pathologic
adenopathy. Patent vascular flow voids. Intervertebral disks are normal
to minimally decreased in height and signal. No central canal
impingement -- compression. On contrast there is no abnormal enhancement
within central canal, thecal sac, spinal cord or posterior fossa.
C2 -- 3: Central canal and neural foramina are patent.
C3 -- 4: Central canal and neural foramina are patent.
C4 -- 5: Central canal and neural foramina are patent.
C5 -- 6: Central canal and neural foramina are patent.
C6 -- 7: Central canal and neural foramina are patent.
C7 -- T1: Central canal and neural foramina are patent.
MRI NECK: Extensive blooming is identified in relation to the anterior
maxilla and mandible and also a linear structure of blooming is
identified which extends from the posterior mental region of the mandible
along the floor of the mouth inferiorly most likely representing a clip
or postsurgical wire. Plain radiograph or CT or visualization would be
of further value to characterize.
No definite soft tissue mass or asymmetry. Left thyroid colloid cyst is
stable and unchanged. No pathologic adenopathy or soft tissue masses or
abnormal enhancing lesions within the neck with maintained soft tissue
and fat and muscle planes. Vascular flow voids are patent.
Aerodigestive tract in the visualized portions from base of tongue
inferiorly symmetrical and unremarkable without any soft tissue mass or
asymmetrical mucosal lining.
IMPRESSION:
1. Normal MRI cervical spine.
2. Postsurgical neck changes with susceptibility artifact.
3. Loss of signal along floor of mouth (likely related clip or wire --
surgery).
4. No asymmetry or soft tissue mass.
5. Overall neck CT is stable (allowing for change in modality).
Could you help me understand this test result please.
Thu, 6 Nov 2014
Hi,
Thanks for writing in.
It looks like you got an ultrasound neck and MRI neck scan for a soft tissue lump in neck and pain in limbs.
The MRI scan findings are explained below in simple language
1. Normal MRI cervical spine.
The cervical spin, vertebrae, intervertebral discs are normal
2. Postsurgical neck changes with susceptibility artifact.
In the jaw region, there is a long wire like structure seen and this is most likely representing a clip or postsurgical wire from an earlier surgery.
3. Loss of signal along floor of mouth (likely related clip or wire --
surgery).
This is also related to earlier surgery.
4. No asymmetry or soft tissue mass.
The suspected lump is not present. It is most likely prominent fat below the skin which is normal.
5. Overall neck CT is stable (allowing for change in modality).
The neck region is normal and the earlier colloid cyst seen in left lobe of thyroid is same as before.
Thanks for writing in.
It looks like you got an ultrasound neck and MRI neck scan for a soft tissue lump in neck and pain in limbs.
The MRI scan findings are explained below in simple language
1. Normal MRI cervical spine.
The cervical spin, vertebrae, intervertebral discs are normal
2. Postsurgical neck changes with susceptibility artifact.
In the jaw region, there is a long wire like structure seen and this is most likely representing a clip or postsurgical wire from an earlier surgery.
3. Loss of signal along floor of mouth (likely related clip or wire --
surgery).
This is also related to earlier surgery.
4. No asymmetry or soft tissue mass.
The suspected lump is not present. It is most likely prominent fat below the skin which is normal.
5. Overall neck CT is stable (allowing for change in modality).
The neck region is normal and the earlier colloid cyst seen in left lobe of thyroid is same as before.
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