Results MR Head w and wo IV Contrast & MR Cervical Spine w and wo IV Contrast Neuro

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Date
Imaging
MR Cervical Spine w and wo IV Contrast Neuro
Christopher M. Perrone, MD
Feb 27, 2021
Imaging
MR Head w and wo IV Contrast
Christopher M. Perrone, MD
Feb 27, 2021
215-662-2700
215-662-3606



MR Head w and wo IV Contrast
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Imaging Study Report
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Radiology Images
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Study Result

Narrative & Impression

CLINICAL INFORMATION: 59 years old. Reported frontal lobe lesion. Possible demyelinating disease.

TECHNIQUE: Routine MRI of the brain was performed prior to and after intravenous contrast administration.
Contrast: 20 mL GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN intraVENOUS.

COMPARISON: Head CT dated 4/3/2013

FINDINGS:
Infarction, recent intracranial hemorrhage or abnormal extra-axial fluid collection. No midline shift or hydrocephalus. No abnormal intracranial enhancement.

Small foci of subcortical and periventricular white matter FLAIR hyperintensity without mass effect are identified which are likely related to chronic small vessel ischemic changes. Possible small left insular chronic lacunar infarction.

Major flow voids are patent at the skull base.

Expected osseous marrow signal. Paranasal sinuses are predominantly aerated.

IMPRESSION:


No acute intracranial abnormality. No abnormal intracranial enhancement.

Probable mild chronic small vessel ischemic changes.


ATTENDING PHYSICIAN AGREEMENT [ATT05]:
I have personally reviewed the images and agree with this report.

Result Information
Status: Final result (Exam End: 2/27/2021 2:53 PM)

Signed
Electronically signed by Hoch, Michael J, MD on 3/1/21 at 1022 EST



PORTER – Patient-Oriented Radiology Reporter

PORTER makes it easier to read your report. It shows what the underlined words mean.

CLINICAL INFORMATION: 59 years old. Reported frontal lobe lesion. Possible demyelinating disease.

TECHNIQUE: Routine MRI of the brain was performed prior to and after intravenous contrast administration.
Contrast: 20 mL GADOTERATE MEGLUMINE 10 MMOL/20ML IV SOLN intraVENOUS.

COMPARISON: Head CT dated 4/3/2013

FINDINGS:
Infarction, recent intracranial hemorrhage or abnormal extra-axial fluid collection. No midline shift or hydrocephalus. No abnormal intracranial enhancement.

Small foci of subcortical and periventricular white matter FLAIR hyperintensity without mass effect are identified which are likely related to chronic small vessel ischemic changes. Possible small left insular chronic lacunar infarction.

Major flow voids are patent at the skull base.

Expected osseous marrow signal. Paranasal sinuses are predominantly aerated.

IMPRESSION:


No acute intracranial abnormality. No abnormal intracranial enhancement.

Probable mild chronic small vessel ischemic changes.


ATTENDING PHYSICIAN AGREEMENT [ATT05]:
I have personally reviewed the images and agree with this report.



MR Cervical Spine w and wo IV Contrast Neuro -
About This Test

Details

Study images can be viewed only when signed in to myPennMedicine.

Imaging Study Report
Help me understand this report

Radiology Images
Show images for MR CERVICAL SPINE W AND WO IV CONTRAST NEURO

Study Result

Narrative & Impression

CLINICAL INFORMATION: 59 years old. Cervical spine stenosis, myelopathy

TECHNIQUE: Routine unenhanced and enhanced MRI of the cervical spine.
Contrast: 20 mL IV Dotarem.

COMPARISON: None

FINDINGS:
There is straightening of the normal cervical lordosis.

Vertebral body stature is maintained. No focal aggressive osseous lesions. Craniocervical junction appears intact. Remote postoperative changes of anterior cervical discectomy and fusion are noted at the C5-C7 levels.

Overall there is thinning of the cervical cord at the C5-T1 levels. Subtle small areas of T2 hyperintensity are noted within the cord, for instance on the right at the level of C5-6 (series 11, image 22) and on the left at the level of C6-7 (series 11, image 25). These likely reflect chronic myelomalacia. No abnormal cervical cord enhancement.

Paraspinal soft tissues appear normal.

Individual levels:

C2-3: Posterior osteophytic ridging with left uncovertebral joint spurring. There is bilateral facet arthropathy. There is mild spinal canal stenosis and moderate left foraminal stenosis.

C3-4: Posterior osteophytic ridging with left uncovertebral joint spurring. There is bilateral facet arthropathy. There is mild spinal canal stenosis with mild to moderate right and severe left foraminal stenosis.

C4-5: Posterior disc osteophyte complex with bilateral facet arthropathy and ligament flavum laxity. There is moderate spinal canal stenosis with severe right and moderate left foraminal stenosis.

C5-6: Posterior osteophytic ridging with a prominent right paracentral component. There is mild to moderate spinal canal stenosis with right ventral cord contour deformity. There is bilateral mild foraminal stenosis.

C6-7: Posterior osteophytic ridging with mild facet arthropathy. No spinal canal stenosis. There is mild bilateral foraminal stenosis.

C7-T1: Posterior osteophytic ridging eccentric to the right with bilateral facet arthropathy. There is no spinal canal stenosis. There is moderate left and mild right foraminal stenosis.

T1-2: Disc bulge with a superimposed left paracentral superior extrusion. There is bilateral facet arthropathy and ligament flavum laxity. There is mild spinal canal narrowing with bilateral moderate foraminal narrowing.


IMPRESSION:


Multilevel cervical spondylosis as detailed above, findings are most pronounced at the C4-5 and C5-6 levels as described above.

Chronic cervical cord myelomalacia at the C5-6 and C6-7 levels. No abnormal cervical cord enhancement.


ATTENDING PHYSICIAN AGREEMENT [ATT05]:
I have personally reviewed the images and agree with this report.


Result Information
Status: Final result (Exam End: 2/27/2021 2:53 PM)

Signed
Electronically signed by Hoch, Michael J, MD on 3/1/21 at 1032 EST