Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does The Following MRI Report Indicate?
Question: Had a recent MRI with the following. Please help with explaining results
Findings:
Several intramedullary lesions of the cervical spine cord are identified.
The most proximal is identified at the level of C1-C2. This is a posterior midline spinal cord lesion measuring approx 5mm in craniocaudal dimension and approx. 2 to 3 mm in axial diameter.
2nd lesion is identified within right posterolateral aspect of spinal cord level at C4. This lesion measures roughly 1.2 cm in craniocaudal dimension and approx. 2x5 mm in greatest axial dimensions within the right posterolateral aspect of the spinal cord.
Impression:
1. Two seperate intramedullary spinal cord lesions are identified one level of C1-C2 and second at the level of C-4 as outlined above.
Constellation of findings are of concern for potential primary demyelinating disease condition.
Careful correlation with clinical history and symplotomatology warrented in this regard.
2. No significant disc generative changes or spinal canal stenosis evident.
Findings:
Several intramedullary lesions of the cervical spine cord are identified.
The most proximal is identified at the level of C1-C2. This is a posterior midline spinal cord lesion measuring approx 5mm in craniocaudal dimension and approx. 2 to 3 mm in axial diameter.
2nd lesion is identified within right posterolateral aspect of spinal cord level at C4. This lesion measures roughly 1.2 cm in craniocaudal dimension and approx. 2x5 mm in greatest axial dimensions within the right posterolateral aspect of the spinal cord.
Impression:
1. Two seperate intramedullary spinal cord lesions are identified one level of C1-C2 and second at the level of C-4 as outlined above.
Constellation of findings are of concern for potential primary demyelinating disease condition.
Careful correlation with clinical history and symplotomatology warrented in this regard.
2. No significant disc generative changes or spinal canal stenosis evident.
Brief Answer:
Inflammation of spinal cord.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Those intramedullary lesions are consistent with demyelinating diseases that include multiple sclerosis, transverse myelitis, acute disseminated encephalomyelitis.
Multiple sclerosis is an autoimmune disorder, transverse myelitis and acute disseminated encephalomyelitis cause inflammation of the brain and spinal cord secondary due to a viral infection for example.
It is necessary to get evaluated by a Neurologist and to confront imaging findings with clinical findings.
Further tests such spinal tap may be necessary to achieve a correct diagnosis.
Hope you found the answer helpful.
Let me know if I can assist you further.
Greetings.
Inflammation of spinal cord.
Detailed Answer:
Hello and thanks for using HCM.
I have read your question and understand your concerns.
Those intramedullary lesions are consistent with demyelinating diseases that include multiple sclerosis, transverse myelitis, acute disseminated encephalomyelitis.
Multiple sclerosis is an autoimmune disorder, transverse myelitis and acute disseminated encephalomyelitis cause inflammation of the brain and spinal cord secondary due to a viral infection for example.
It is necessary to get evaluated by a Neurologist and to confront imaging findings with clinical findings.
Further tests such spinal tap may be necessary to achieve a correct diagnosis.
Hope you found the answer helpful.
Let me know if I can assist you further.
Greetings.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
