Wk 2, Case 12 - Review

Report

EXAM: MRA SPINE W/ AND WO CONTRAST, MRI COMPLETE SPINE W/WO CONTRAST,

INDICATION: 46-year-old female hx of vascular myelopathy presenting with new R arm tingling, sensory changes, r/o cord infarct/worsening myelopathy.

TECHNIQUE: Multiplanar multisequence MRI of the spine was performed. MRA of the spine with contrast was performed.
8 cc of intravenous Gadavist was used.

FINDINGS:

MRI SPINE:
Cord atrophy at C5-7 and the area of the previously seen myelopathy. Increased signal on diffusion weighted imaging within the myelopathic segment in the right lateral aspect of the cord (Key Image 1).

Decreased patchy T2 hyperintensity in the dorsal columns at the C2-3 level and in the left lateral spinal cord at C4.

T5 vertebral body hemangioma.

MRI spine:
1. Focal diffusion restriction and heterogeneous enhancement in the right lateral aspect of the spinal cord extending from C5-C7, within the segment of the previously seen myelopathy. Findings are suggestive of acute on chronic spinal cord infarction/vascular insult.